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NPI Code Detail

MEDICARE: JANINE M FOGEL MD

MEDICARE:   JANINE M FOGEL  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01045584AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000086789OTHERINANTHEM

General Provider Information

NPI Number : 1831156678
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE M FOGEL MD
Provider Business Mailing Address
First Line : PO BOX 637764
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-7764
Country : US
Telephone Number : 317-880-3939
Fax Number :
Provider Business Practice Location Address
First Line : 1002 WISHARD BLVD
Second Line : 1ST FL
City : INDIANAPOLIS
State : IN
Zip : 46202-2872
Country : US
Telephone Number : 317-630-6523
Fax Number : 317-692-2817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2006
Last Update Date : 09/16/2025

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