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DR. JUSTIN WADE FOGO DC NPI 1417167271


NPI Information

NPI: 1417167271
Provider Name: DR. JUSTIN WADE FOGO, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
398 CHESSER ROAD
SUITE 2
CHELSEA, AL
ZIP 35043
Phone: (205) 678-1000
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DR. Justin Wade Fogo, DC is a chiropractor in Chelsea, AL with 23 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Justin Wade Fogo, DC NPI is 1417167271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY
Graduation Year:2001

The provider's business location address is:

398 CHESSER ROAD
SUITE 2
CHELSEA, AL
ZIP 35043
Phone: (205) 678-1000
Fax: (205) 678-1001

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3 to 4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 5/23/2007 and was last updated on 4/28/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2069ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U97351MEDICARE UPINALABAMA
2JWFOGOMEDICARE UPINALABAMA
3025708FOGMEDICARE UPINALABAMA
451525708OTHERALABAMABCBS PROVIDER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.