- Practice location
- 112 Sanford RD, Wells, ME 04090-5533
- Phone
- 207-641-8100
- Fax
- 207-641-8102
- Last updated
- December 2, 2009
Erich A Fogg is a Physician Assistant based in Wells, ME. Erich A Fogg practices in Wells, ME and has the professional credentials of PA-C. The NPI Number for Erich A Fogg is 1811082316 and holds a License No. PA-763 (ME). The current practice location address for Erich A Fogg is 112 Sanford RD, Wells, ME 04090-5533 and can be reached out via phone at 207-641-8100 and via fax at 207-641-8102.
Provider Profile Details
- NPI Number
- 1811082316
- Provider Name
- Erich A Fogg
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 112 Sanford RD, Wells, ME 04090-5533
- Phone Number
- 207-641-8100
- Fax Number
- 207-641-8102
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2006
- Last Update Date
- December 2, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 112 Sanford RD
Wells, ME 04090-5533 - City
- Wells
- State
- Maine
- Zip
- 04090-5533
- Phone Number
- 207-641-8100
- Fax Number
- 207-641-8102
Provider Business Mailing Address Details
- Address
- 15 Hospital Drive
Medical Staff Office
York, ME 03909-1011 - City
- York
- State
- ME
- Zip
- 03909-1011
- Phone Number
- 207-351-2478
- Fax Number
- 207-351-2153
License Information
- License Number
- PA-763
- License State
- ME
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Erich A Fogg, PA-C?
The NPI number of Mr. Erich A Fogg, PA-C is 1811082316. It was assigned on October 3, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Erich A Fogg, PA-C?
Mr. Erich A Fogg, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA-763.
Where does Mr. Erich A Fogg, PA-C practice?
The practice location is 112 Sanford RD, Wells, ME 04090-5533. The office can be reached at 207-641-8100 (phone) or 207-641-8102 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811082316 directly on the NPPES registry website.