BRIAN D FAGAN (NPI# 1881634210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881634210 |
| Entity Type | Individual |
| Full Name | BRIAN D FAGAN |
| Credential | M.D. |
| Practice Address |
373 W 101st Ter Suite 210 Kansas City MO 64114-4408 |
| Practice Telephone | 8163339500 |
| Practice Fax Number | 8163633700 |
| Mailing Telephone | 8163339500 |
| Mailing Fax Number | 8163633700 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | R3M20 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831430677 | Brian Fagan | Pharmacist | 14028 Highway 183, Austin, TX 78717 | 2013-03-04 |
| 1831280494 | Brian Michael Fagan | Radiology | Joliet Radiological Services Corp Provena St. Joesph Me, 333 N Madison St, Joliet, IL 60435 | 2006-09-27 |
| 1669013843 | Brian J Fagan | Counselor | 310 W Chicago Ave, Chicago, IL 60654-5106 | 2019-09-30 |
| 1740308550 | Brian T Fagan | Pediatrics | 3020 Childrens Way, San Diego, CA 92123-4223 | 2007-03-27 |
| Street Address |
373 W 101ST TER SUITE 210 |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64114-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216151 | Sherry Nan Michael | Social Worker | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2005-09-26 |
| 1790382075 | Novus Lifecare Hospice of Missouri LLC | Hospice Care, Community Based | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2020-10-08 |
| 1154880664 | Elise Herrmann | Audiologist | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2019-03-14 |
| 1871957522 | Blue Ridge Physical Therapy | Clinic/Center | 373 W 101st Ter, Ste 200, Kansas City, MO 64114-4408 | 2016-04-08 |
| 1104281633 | Stacie Kubicsko | Nurse Practitioner | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2015-12-29 |
| 1568830040 | Preferred Pt, LLC | Physical Therapist | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2015-09-14 |
| 1982858593 | Mid America Balance Institute of Clay Platte County Missouri | Specialist/Technologist | 373 W 101st Ter, #200, Kansas City, MO 64114-4408 | 2008-11-10 |
| 1871714030 | Encompass Medical Group, Pa | Internal Medicine | 373 W 101st Ter, Imaging Department, Kansas City, MO 64114-4408 | 2007-05-02 |
| 1770605297 | Encompass Medical Group, Pa | Clinic/Center | 373 W 101st Ter, Kansas City, MO 64114-4408 | 2007-04-04 |
| 1861560948 | Genelle Justine Slagle | Family Medicine | 373 W 101st Ter, Kansas City, MO 64114-4498 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164055968 | Nova Home Infusion, LLC | Home Infusion | 7611 State Line Road, Suite 130 B, Kansas City, MO 64114 | 2020-02-20 |
| 1770011017 | Rene Thomsen | Counselor | 222 W Gregory Blvd Ste 120, Kansas City, MO 64114 | 2017-05-31 |
| 1114452075 | Accent Home Health Care LLC | In Home Supportive Care | 7817 Wornall Rd, Kansas City, MO 64114 | 2017-04-27 |
| 1174982599 | Mei Dodson | Contractor | 8901 Washington St, Kansas City, MO 64114 | 2016-02-12 |
| 1851784805 | Sarah Jeannette Gulledge | Registered Nurse | 930 Carondelet Dr., Suite 201, Kansas City, MO 64114 | 2015-03-16 |
| 1376936591 | Corey Bess | Podiatrist | 1010 Carondelet Dr Ste 301, Kansas City, MO 64114 | 2015-03-12 |
| 1013339753 | Kati Mayer | Physical Therapist | 10008 Walnut Dr., #202, Kansas City, MO 64114 | 2014-01-15 |
| 1619270311 | Gavett Burch | Marriage & Family Therapist | 222 W Gregory Blvd., Suite #319, Kansas City, MO 64114 | 2010-12-18 |
| 1679873046 | Ken Kidd Inc Dba Miracle-ear | Hearing Instrument Specialist | 1148 W. 103rd St, Kansas City, MO 64114 | 2010-11-01 |
| 1316264161 | Elizabeth Vasquez | Physician Assistant | 1004 Carondelet Dr., Suite 330, Kansas City, MO 64114 | 2010-05-03 |
| Find all providers in zip 64114 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851886949 | Adam Kahle | Surgery | 4000 Cambridge, Department of Surgery, M/s 2005, Kansas City, KS 66160 | 2018-06-29 |
| 1184910028 | Elizabeth Catherine Butler | Surgery | 5820 Nw Barry Rd Ste 300, Kansas City, MO 64154-2578 | 2011-06-20 |
| 1629256235 | Saint Luke's Hospital Physician Billing Services, LLC | Surgery | 4323 Wornall Road, Peet Center Level 3, Kansas City, MO 64111 | 2008-02-06 |
| 1326259623 | Joshua Matthew Varghise Mammen | Surgery | 3901 Rainbow Blvd 4000 Murphy, University of Kansas Medical Center, Department of Surg, Kansas City, KS 66103-2937 | 2007-05-25 |
| 1033141635 | Karthik Vamanan | Surgery | 4320 Wornall Rd Ste 50, Kansas City, MO 64111-5943 | 2006-07-06 |
| 1437185543 | Robert J Kenney Jr. | Surgery | 5844 Nw Barry Rd Ste 120, Kansas City, MO 64154-1483 | 2006-06-23 |
| 1912951518 | Surgical Consultants of Kansas City, P C | Surgery | 1010 Carondelet Dr Ste 114, Kansas City, MO 64114-4821 | 2006-05-19 |
| 1780243741 | Brian Cummiskey | Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-06-12 |
| 1922663988 | Gabrielle Rico | Surgery | 1750 Independence Ave, Kansas City, MO 64106-1453 | 2019-05-06 |
| 1376004945 | Derek Ryan Marlor | Surgery | 3901 Rainbow Blvd, Kansas City, KS 66160-8500 | 2019-03-27 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64114 |
Please comment or provide details below to improve the information on BRIAN D 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.