SHELLEY FOGT


Address: 1220 E Elm St Ste 106, Lima, OH 45804-2803
Phone: 4192265180

SHELLEY FOGT (NPI# 1861856015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861856015
Entity Type Individual
Full Name SHELLEY FOGT
Practice Address 1220 E Elm St Ste 106
Lima
OH 45804-2803
Mailing Address 1001 Bellefontaine Ave
Lima
OH 45804-2800
Practice Telephone 4192265180
Practice Fax Number 4199984517
Mailing Telephone 4199984575
Mailing Fax Number 4199984586
Enumeration Date 2016-04-13
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN.CNP.18696 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1220 E ELM ST STE 106
City LIMA
State OH
Zip Code 45804-2803

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134729817 Luke Holliday Pharmacist Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 2020-10-30
1306482393 Olympia Monik Johnson Case Manager/Care Coordinator 799 S. Main St, Lima, OH 45804 2019-11-25
1982260139 Jenna Renee Warnecke Speech-Language Pathologist Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 2019-05-14
1942728282 Premier Care of Ohio, LLC. Community/Behavioral Health 2727 St. Johns Rd, Ste D, Lima, OH 45804 2017-09-07
1093250078 Gevette Love Counselor 311 E. Market St., Lima, OH 45804 2016-12-29
1134595416 Rewa A Banks Nurse Practitioner 2895 Harding Hwy Ste C, Lima, OH 45804 2015-08-20
1295148195 Adaptive Medical Marketing, Inc Durable Medical Equipment & Medical Supplies 1378 Bellefontaine Ave, Lima, OH 45804 2014-06-09
1265771869 Laura B Hile Nurse Practitioner 1875 South Dixie Highway, Lima, OH 45804 2013-02-04
1184960593 Jenna L Kimmel Nurse Practitioner 799 S. Main St., Lima, OH 45804 2012-12-13
1437398054 Champaign Residential Services, Inc. Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 2450 Mandolin Drive, Lima, OH 45804 2009-02-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730713967 Internal Medicine Primary Care Incorporated Nurse Practitioner 920 W Market St Ste 210a, Lima, OH 45805-2777 2020-02-26
1770129835 Kimberly Anne Stump Nurse Practitioner 690 Gardenview Cir, Lima, OH 45801-3873 2019-11-25
1104478098 Anne Marie Sielschott Nurse Practitioner 830 W High St Ste 250, Lima, OH 45801-3981 2019-07-11
1982128328 Wendy Shutler Nurse Practitioner 770 W High St Ste 220, Lima, OH 45801-5910 2017-07-27
1881116416 Jaclyn Goins Nurse Practitioner 825 S Cable Rd Ste A, Lima, OH 45805-3467 2017-07-14
1760931034 Denise Harris Nurse Practitioner 240 W Northern Ave, Suite 3, Lima, OH 45801-2839 2016-09-28
1134595416 Rewa A Banks Nurse Practitioner 2895 Harding Hwy Ste C, Lima, OH 45804 2015-08-20
1871849828 Ashton J. Crook Nurse Practitioner 3224 Jarvis Drive, Lima, OH 45807 2012-07-27
1740587823 Katherine Hoying Nurse Practitioner 240 W Northern Ave Ste 3, Lima, OH 45801-2839 2011-02-25
1427298082 Christy L Kretzer Nurse Practitioner 280 S Mcclure Rd, Lima, OH 45801-9711 2009-02-23
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Competitor

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City LIMA
Zip Code 45804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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