Provider Demographics
NPI:1013997568
Name:FOJAS, FERDINAND S (MD)
Entity type:Individual
Prefix:
First Name:FERDINAND
Middle Name:S
Last Name:FOJAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7475 AUGUSTA WOODS TER
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-7068
Mailing Address - Country:US
Mailing Address - Phone:614-523-0637
Mailing Address - Fax:614-523-0637
Practice Address - Street 1:7475 AUGUSTA WOODS TER
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-7068
Practice Address - Country:US
Practice Address - Phone:614-523-0637
Practice Address - Fax:614-523-0637
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-20
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-8114-F207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H30537Medicare UPIN
OHFO4040143Medicare ID - Type Unspecified