DR. ROGER FAGAN (NPI# 1720189012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720189012 |
| Entity Type | Individual |
| Full Name | DR. ROGER FAGAN |
| Other Name | DR. JAMES ROGER FAGAN |
| Credential | AUD |
| Practice Address |
985 Forest Avenue Portland ME 04103 |
| Practice Telephone | 2077978738 |
| Practice Fax Number | 2077978650 |
| Mailing Telephone | 2077978738 |
| Mailing Fax Number | 2077978650 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | AP25 | ME | Speech, Language and Hearing Service Providers |
| Y | 237600000X | Audiologist-Hearing Aid Fitter | DL95 | ME | Speech, Language and Hearing Service Providers |
| Street Address |
985 FOREST AVENUE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| Taxonomy Code | 237600000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist-Hearing Aid Fitter |
| An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists". |
| Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1386082535 | Leah Paige Drullinger | Audiologist-Hearing Aid Fitter | 1939 E Burnside St, Portland, OR 97214-1535 | 2013-06-10 |
| 1639442601 | Carolyn K Lewis | Audiologist-Hearing Aid Fitter | 11942 Ne Glisan St, Portland, OR 97220-2143 | 2012-02-21 |
| 1023319902 | Hearing Healthcare Professionals of Oregon, LLC | Audiologist-Hearing Aid Fitter | 9155 Sw Barnes Rd, Ste 401, Portland, OR 97225-6625 | 2010-11-09 |
| 1154635589 | Northland Hearing Centers Incc | Audiologist-Hearing Aid Fitter | 10570 Se Washington St, Suite 210, Portland, OR 97216-2846 | 2010-07-27 |
| 1710146014 | Audiology & Hearing Aid Services | Audiologist-Hearing Aid Fitter | 985 Forest Ave, Portland, ME 04103-3303 | 2008-06-03 |
| 1811156110 | Laraine Gladstone | Audiologist-Hearing Aid Fitter | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2008-06-03 |
| 1215104484 | Teri Rae Hall | Audiologist-Hearing Aid Fitter | 3600 N Interstate Ave, Portland, OR 97227-1106 | 2008-05-15 |
| 1720118151 | Christine Jane Moulton | Audiologist-Hearing Aid Fitter | 1939 E Burnside St, Portland, OR 97214-1535 | 2007-03-06 |
| 1811027196 | Robert A Klein | Audiologist-Hearing Aid Fitter | 1939 E Burnside St, Portland, OR 97214-1535 | 2007-03-06 |
| Find all providers in PORTLAND | ||||
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| 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.