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Contact Information

TODD M FOGARTY, CRNA
21 NE 3RD ST
OKLAHOMA CITY, OK73104-2205
 Phone: 402-486-7115
 Fax: 402-434-6047
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for TODD M FOGARTY · (Male)

NPI # 1730289034
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 09/25/2006
Last updated 02/18/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # R0046631
  • OK Medicaid 100782930A
Hospital affiliation(s)
  • ORTHOPEDIC HOSPITAL - (Acute Care)
    1044 SW 44TH, SUITE 350
    OKLAHOMA CITY, OK 73109
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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