DR. ALICE MARIE FAGIN (NPI# 1194995837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194995837 |
| Entity Type | Individual |
| Full Name | DR. ALICE MARIE FAGIN |
| Other Name | DR. ALICE MARIE TROMBLE |
| Credential | MD |
| Practice Address |
1 Childrens Way # 210 Little Rock AR 72202-3500 |
| Mailing Address |
1 Childrens Way # 653 Little Rock AR 72202-3500 |
| Practice Telephone | 5013641100 |
| Practice Fax Number | 5013644082 |
| Mailing Telephone | 5013641100 |
| Mailing Fax Number | 5013644082 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2020-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MD-40377 | IA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | E-9042 | AR | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
59557 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD-40377 | IA | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
59557 | AZ | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MD-40377 | IA | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
E-9042 | AR | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 Hawkins Dr, Iowa City, IA 522421009 | 3193538435 | 3193567850 |
| 1200 N Beaver St, Flagstaff, AZ 860013118 | 9287793366 |
| Street Address |
1 CHILDRENS WAY # 210 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72202-3500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720289945 | Anna Nicole Rinewalt | Surgery | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2007-05-29 |
| 1396115192 | Kumar Mahendra Patel | Physician Assistant | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2015-10-06 |
| 1477787091 | Esther Huah-chi Teo | Surgery | 1 Childrens Way # 210, Little Rock, AR 72202-3500 | 2009-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116481 | Kendra Kay Romig | Physical Therapist | 1617 Brookwood Dr, Little Rock, AR 72202 | 2020-08-25 |
| 1467071845 | Allison Morton | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 589, Little Rock, AR 72202 | 2020-04-15 |
| 1568091593 | Hannah Elisabeth Smashey Lewis | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot: Ach 512-15, Little Rock, AR 72202 | 2020-04-02 |
| 1922569003 | Lily Suh | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 512-19a, Little Rock, AR 72202 | 2019-03-29 |
| 1629563374 | Heidi Marie Lightle | Audiologist | 1900 Maryland Street, Slot 113 Ach-audiology, Little Rock, AR 72202 | 2018-06-26 |
| 1053817916 | Daniel Harper | Student in an Organized Health Care Education/Training Program | 1 Children's Way, Slot 556, Little Rock, AR 72202 | 2018-03-31 |
| 1003320185 | Uday Kumar Chalwadi | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-17, Little Rock, AR 72202 | 2017-11-28 |
| 1770010209 | Auston Wilis | Counselor | 1707 W 12th St Ste 201, Little Rock, AR 72202 | 2017-05-15 |
| 1518499888 | Patrick Ayers | Student in an Organized Health Care Education/Training Program | #1 Childrens Way, Slot Ach 512-19a, Little Rock, AR 72202 | 2017-03-28 |
| 1508213497 | The Learning Curve Lactation Support LLC | Durable Medical Equipment & Medical Supplies | 1301 S. Louisiana St. Apt. 106, Little Rock, AR 72202 | 2016-05-20 |
| Find all providers in zip 72202 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063050573 | Mgh Surgicalist Pllc | Surgery | 5 Saint Vincent Cir, Little Rock, AR 72205-5412 | 2019-12-16 |
| 1306136148 | Anna Privratsky | Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2011-04-13 |
| 1588754154 | Ronald Robertson | Surgery | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2006-10-13 |
| City | LITTLE ROCK |
| Zip Code | 72202 |
Please comment or provide details below to improve the information on DR. ALICE MARIE FAGIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.