MCKENZIE CHRISTINE FAGAN (NPI# 1942842398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942842398 |
| Entity Type | Individual |
| Full Name | MCKENZIE CHRISTINE FAGAN |
| Practice Address |
105 Seville St Philadelphia PA 19127-1811 |
| Practice Telephone | 7243729269 |
| Mailing Telephone | 7243729269 |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255R0406X |
Specialist/Technologist Specialization: Rehabilitation, Blind |
9462063 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 SEVILLE ST |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19127-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197218 | Karen M Johnson | Social Worker | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2019-11-05 |
| 1801363304 | Associates for Well-being | Psychologist | 4001 Main Street, Suite 202, Philadelphia, PA 19127 | 2018-11-01 |
| 1033690920 | Extremity Care, LLC | Durable Medical Equipment & Medical Supplies | 3901 Main Street, Suite 101a, Philadelphia, PA 19127 | 2018-08-28 |
| 1275062549 | Jamie Mae Cunningham | Specialist/Technologist | 153 East Street, Philadelphia, PA 19127 | 2017-06-08 |
| 1073957957 | Sarah Alice Sall | Massage Therapist | 4600 Smick Street, Philadelphia, PA 19127 | 2013-04-23 |
| 1710245303 | Marie C Croghan | Occupational Therapist | 4601 Flat Rock Road, Apt. 514, Philadelphia, PA 19127 | 2012-05-02 |
| 1396938288 | Lisa Erin Starke | Occupational Therapist | 169 Conarroe St, Philadelphia, PA 19127 | 2007-08-23 |
| 1700448511 | Stefan Markovic | Family Medicine | 10 Shurs Ln, #203, Philadelphia, PA 19127 | 2019-07-01 |
| 1467912642 | Healing Energy Homecare, LLC | In Home Supportive Care | 4001 Main St, Ste 210, Philadelphia, PA 19127 | 2019-03-22 |
| 1962015537 | Joanna Elizabeth Vanore | Social Worker | 4725 Sheldon St, Philadelphia, PA 19127-1008 | 2020-08-24 |
| Find all providers in zip 19127 | ||||
| Taxonomy Code | 2255R0406X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Rehabilitation, Blind |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598091464 | Karen Hansler | Specialist/Technologist | 149 Andreas Rd, Andreas, PA 18211-3003 | 2009-10-27 |
| 1609268671 | Joanne Dawn Ruchinski | Specialist/Technologist | 506 S State Rd, Apt 1, Marysville, PA 17053-1001 | 2015-02-26 |
| 1710079652 | Jeanne M Smaltz | Specialist/Technologist | 1700 S Lincoln Ave, 360, Lebanon, PA 17042-7529 | 2006-09-29 |
| 1720179781 | Nancy J Strohm | Specialist/Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-09-27 |
| 1780611582 | Maria J Nolter | Specialist/Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-06-27 |
| 1891733531 | Eugene William Althouse Jr. | Specialist/Technologist | 1700 S Lincoln Ave, Lebanon, PA 17042-7529 | 2006-06-03 |
| City | PHILADELPHIA |
| Zip Code | 19127 |
Please comment or provide details below to improve the information on MCKENZIE CHRISTINE 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.