DR. THOMAS A. FAGAN (NPI# 1790812352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790812352 |
| Entity Type | Individual |
| Full Name | DR. THOMAS A. FAGAN |
| Credential | DC |
| Practice Address |
75 Dorchester St South Boston MA 02127-2228 |
| Practice Telephone | 6174642227 |
| Practice Fax Number | 6172684218 |
| Mailing Telephone | 6174642227 |
| Mailing Fax Number | 6172684218 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2284 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | HARVARD PILGRIM HEALTH | 352504 | 01 |
| MA | BLUE CROSS BLUE SHIELD | Y36717 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407922214 | Thomas Fagan | Pharmacist | 1201 Broadwalk Blvd, Richmond, VA 23249 | 2006-11-27 |
| 1174133292 | Thomas Fagan | Student in an Organized Health Care Education/Training Program | 700 Cooper Ave, Saginaw, MI 48602-5383 | 2020-08-04 |
| 1861982050 | Thomas Michael Fagan | Chiropractor | 5555 Germantown Ave, Philadelphia, PA 19144-2225 | 2018-05-14 |
| 1598878431 | Thomas Fagan | Clinic/Center | 2954 Rodeo Park Dr W, Santa Fe, NM 87505-6351 | 2006-08-16 |
| 1134116494 | Thomas Fagan | Pediatrics | 848 Adams Ave, L400, Memphis, TN 38103-2816 | 2005-10-03 |
| Street Address |
75 DORCHESTER ST |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-2228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790906808 | Thomas E Pierce | Chiropractor | 746 East Broadway, South Boston, MA 02127 | 2007-05-02 |
| 1780612929 | Scott Buckley | Chiropractor | 4019 Halifax Rd Ste E, South Boston, VA 24592-4821 | 2006-06-28 |
| 1366613044 | Dorothy A. Fensterer, D.c., P.C. | Chiropractor | 103 Main St, South Boston, VA 24592-4623 | 2008-03-20 |
| 1093877474 | Degraw Chiropractic Center, Inc | Chiropractor | 1993 Hamilton Blvd, Ste A, South Boston, VA 24592-2146 | 2006-12-14 |
| 1003879602 | Dale Francisco Williams | Chiropractor | 1993 Hamilton Blvd, Ste A, South Boston, VA 24592-2146 | 2006-04-07 |
| 1881672467 | Dorothy A. Fensterer | Chiropractor | 1993 Hamilton Blvd, Suite A, South Boston, VA 24592-2146 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151454 | Rachelle H. King, D.c. | Chiropractor | 61 Central Sq Ste 4, Chelmsford, MA 01824-3096 | 2020-10-13 |
| 1356949515 | Hudson Chiropractic Center, Inc. | Chiropractor | 43 Broad St Ste A102, Hudson, MA 01749-2558 | 2020-10-11 |
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1295340735 | Kacey Jo King | Chiropractor | 218 Shrewsbury St # 105, Worcester, MA 01604-4652 | 2020-09-11 |
| 1982218103 | Western Mass Chiropractic PC | Chiropractor | 275 Bicentennial Hwy Ste 211, Springfield, MA 01118-1965 | 2020-09-04 |
| 1467063776 | Gardner Family Chiropractic Inc. | Chiropractor | 123 Whitney St, Gardner, MA 01440-3247 | 2020-08-11 |
| 1386252922 | Thomas Chiropractic, Inc. | Chiropractor | 200 Jefferson Rd Ste 106, Wilmington, MA 01887-1999 | 2020-07-20 |
| 1003431339 | Brandon Smolarek | Chiropractor | 269 W Main St Ste 3b, Northborough, MA 01532-2382 | 2020-06-12 |
| 1205468345 | Derrick Pallis | Chiropractor | 28 Philip St, Medfield, MA 02052-2705 | 2020-02-06 |
| 1790316529 | Becoming Balanced LLC | Chiropractor | 3 Littleton Rd Ste 5, Westford, MA 01886-3169 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on DR. THOMAS A. FAGAN.
| 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.