DR. MARTHA E FAGAN (NPI# 1831179373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831179373 |
| Entity Type | Individual |
| Full Name | DR. MARTHA E FAGAN |
| Credential | MD |
| Practice Address |
1050 Reid Parkway Suite 220 Richmond IN 47374-1156 |
| Practice Telephone | 7659629541 |
| Practice Fax Number | 7659665952 |
| Mailing Telephone | 7659629541 |
| Mailing Fax Number | 7659665952 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 01066632A | IN | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 0101233798 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200946410 | 05 | |
| OH | 3033461 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596224 | Martha Fagan | Nurse Practitioner | 300 Meridian Centre Blvd Ste 320, Rochester, NY 14618-3984 | 2020-10-19 |
| Street Address |
1050 REID PARKWAY SUITE 220 |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396730685 | Rachel A Epperson | Nurse Practitioner | 1050 Reid Parkway, Suite 210, Richmond, IN 47374 | 2005-09-13 |
| 1790055648 | Michael D Atwell | Nurse Practitioner | 1050 Reid Parkway, Suite 110, Richmond, IN 47374-1156 | 2012-01-10 |
| 1467731224 | Richmond Cancer Center LLC | Internal Medicine | 1050 Reid Parkway, Suite 120, Richmond, IN 47374-1156 | 2011-08-11 |
| 1679787949 | Susan Lee | Family Medicine | 1050 Reid Parkway, Suite 210, Richmond, IN 47374-1160 | 2007-05-09 |
| 1619090131 | Christopher D Smalley | Physician Assistant | 1050 Reid Parkway, Suite 220, Richmond, IN 47374-1161 | 2007-04-09 |
| 1629141734 | Richard N Woodruff | Obstetrics & Gynecology | 1050 Reid Parkway, Suite 220, Richmond, IN 47374-1907 | 2006-11-16 |
| 1265503643 | Marvin Scott Haswell | Obstetrics & Gynecology | 1050 Reid Parkway, Suite 220, Richmond, IN 47374-1160 | 2006-11-10 |
| 1851462246 | Joseph B Clemente | Obstetrics & Gynecology | 1050 Reid Parkway, Suite 220, Richmond, IN 47374-1160 | 2006-11-10 |
| 1497826804 | Gyn Ltd | Obstetrics & Gynecology | 1050 Reid Parkway, Suite 220, Richmond, IN 47374-1907 | 2006-11-10 |
| 1427023258 | James Edward Burkhart | Psychiatry & Neurology | 1050 Reid Parkway, Suite 210, Richmond, IN 47374-1160 | 2006-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396109534 | Allison Tucker Gray | Obstetrics & Gynecology | 6600 W Broad St Ste 100, Richmond, VA 23230-1709 | 2016-04-13 |
| 1033598594 | Kimberly Rhea Earhart | Obstetrics & Gynecology | 7601 Forest Ave Ste 100, Richmond, VA 23229-4933 | 2015-05-29 |
| 1710305966 | Natalie M Dogal | Obstetrics & Gynecology | 7605 Forest Ave Ste 206, Richmond, VA 23229 | 2014-04-04 |
| 1508154436 | Enyioma A Muolokwu Pa | Obstetrics & Gynecology | 7602 Bright Lake Bend Ln, Richmond, TX 77407-4494 | 2011-07-12 |
| 1124357561 | Max Sam Maizels | Obstetrics & Gynecology | 328 Oak Ln, Richmond, VA 23226-1656 | 2009-12-14 |
| 1548596992 | Jenny Zamor, Do P.C. | Obstetrics & Gynecology | 206 E Clay St, Suite B, Richmond, VA 23219-1326 | 2009-10-20 |
| 1932332426 | C.funsho Fagbohun,md,phd Pa | Obstetrics & Gynecology | 1601 Liberty St Ste A, Richmond, TX 77469-3252 | 2009-08-31 |
| 1295962330 | Elizabeth Ann Bailey | Obstetrics & Gynecology | 5510 W Grand Pkwy S Ste B, Richmond, TX 77406-5879 | 2009-06-16 |
| 1245419217 | James E Jones Jr Md PC | Obstetrics & Gynecology | 5875 Bremo Rd Ste 304, Richmond, VA 23226-1934 | 2007-10-26 |
| 1093911802 | Ramzi Aboujaoude | Obstetrics & Gynecology | 1401 Johnston-willis Dr., Suite 5000, Richmond, VA 23235-4730 | 2007-06-27 |
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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.