DR. PETER G. FAGAN (NPI# 1740205590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740205590 |
| Entity Type | Individual |
| Full Name | DR. PETER G. FAGAN |
| Credential | M.D. |
| Practice Address |
10201 Highway 16 Comanche TX 76442-4462 |
| Mailing Address |
Po Box 488 De Leon TX 76444-0488 |
| Practice Telephone | 2548794900 |
| Mailing Telephone | 2548934099 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | E3003 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | MC GRP | 0A5652 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003843384 | Peter J Fagan | Psychologist | 4940 Eastern Ave, Baltimore, MD 21224-2735 | 2006-06-26 |
| Street Address |
10201 HIGHWAY 16 |
| City | COMANCHE |
| State | TX |
| Zip Code | 76442-4462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598752404 | Comanche County Consolidated Hospital District | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2005-10-05 |
| 1679033476 | Charles Jordan | Nurse Practitioner | 10201 Highway 16, Comanche, TX 76442-4462 | 2019-03-20 |
| 1306181508 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-29 |
| 1336483684 | Texas Health Care, P.l.l.c. | Orthopaedic Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2012-11-26 |
| 1114221199 | Comanche County Medical Center Company | Clinic/Center | 10201 Highway 16, Comanche, TX 76442-4462 | 2011-01-05 |
| 1346544616 | Comanche County Medical Center Company | Medicare Defined Swing Bed Unit | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-30 |
| 1114220928 | Comanche County Medical Center | Ambulance | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-12-16 |
| 1275854952 | Comanche County Physicians Group | Surgery | 10201 Highway 16, Comanche, TX 76442-4462 | 2010-06-17 |
| 1356501035 | Hill Country Advanced Foot and Ankle Center, P.a. | Podiatrist | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-06-16 |
| 1386811958 | Comanche Internal Medicine, Pa | Internal Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689130692 | Mylinda Gay Blue | Registered Nurse | 10201 Highway 16 N, Comanche, TX 76442 | 2019-02-14 |
| 1598246654 | Minerva L Marsh | Occupational Therapist | 400 Sidney Rd, Comanche, TX 76442 | 2018-08-27 |
| 1891189676 | Comanche County Consolidated Hospital District | Hospice Care, Community Based | 108 W Oak, Comanche, TX 76442 | 2015-03-19 |
| 1083851513 | Comanche County Medical Center Dba Doctors Medical Center | Family Medicine | 10201 Hwy 16 N, Comanche, TX 76442 | 2009-01-21 |
| 1548284631 | Gary M Easley, Dds Inc | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2006-07-26 |
| 1992260244 | Stephanie Renee Stout | Licensed Vocational Nurse | 10201 Hwy 16 North, Comanche, TX 76442 | 2019-01-31 |
| 1629286182 | Gary M Easley | Dentist | 203 Valley Forge St, Comanche, TX 76442 | 2007-05-18 |
| 1861707010 | Greater North Texas Emergency Medical Services Corp | Ambulance | 1400-a N. Austin, Comanche, TX 76442-0000 | 2010-08-12 |
| 1629579842 | Susan Raye Johnson | Licensed Vocational Nurse | 303 W Martin Ave, Comanche, TX 76442-1661 | 2018-02-22 |
| 1285738245 | John Ben Knudson | Pharmacy | 1001 N Austin St, Comanche, TX 76442-1701 | 2006-09-12 |
| Find all providers in zip 76442 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124557319 | Cornerstone Family Medicine, Pllc | Family Medicine | 408 N Austin St, Comanche, TX 76442-2408 | 2017-06-09 |
| 1083851513 | Comanche County Medical Center Dba Doctors Medical Center | Family Medicine | 10201 Hwy 16 N, Comanche, TX 76442 | 2009-01-21 |
| 1003944513 | Duncan Regional Hospital, Inc. | Family Medicine | 303 N Highway 81, Comanche, OK 73529-1423 | 2007-02-28 |
| 1427075498 | Comanche County Hospital Authority | Family Medicine | 513 Hilary, Suite C, Comanche, OK 73529 | 2006-07-16 |
| 1538108147 | Richard Wayne Byrd | Family Medicine | 201 Valley Forge St, Comanche, TX 76442-1815 | 2006-06-06 |
| 1902862105 | Beau L Mccrory | Family Medicine | 105 Valley Forge St, Comanche, TX 76442-1813 | 2006-04-25 |
| 1225216930 | Doctors Medical Center Clinic | Family Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2008-02-05 |
| 1497936397 | Dr S Howard Dickey Do Pa | Family Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2007-11-19 |
| 1285829895 | Dwayne C. Miller | Family Medicine | 10201 Highway 16, Comanche, TX 76442-4462 | 2007-09-07 |
| 1528123874 | James Otha Wood Jr. | Family Medicine | 303 N Rodeo Dr, Comanche, OK 73529-1423 | 2006-12-27 |
| Find all providers in COMANCHE | ||||
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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.