Matthew J Fagan (NPI# 1538184791, PAC ID# 0143291286) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1538184791 |
| PAC ID by PECOS | 0143291286 |
| Professional Enrollment ID | I20060808000341 |
| Full Name | Matthew J Fagan |
| Organization Legal Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Address |
161 Wilimington W Chester Pike Chadds Ford PA 19317-9041 |
| Gender | M |
| Credential | MD |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1999 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 9739097569 |
| Number of Group Practice Members | 1079 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 080001 | CHRISTIANA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 | CHRISTIANA CARE HEALTH SERVICES INC | |
| 4735 Ogletown Stanton Rd, Newark, DE 19713-2089 | CHRISTIANA CARE HEALTH SERVICES INC | |
| 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | CHRISTIANA CARE HEALTH SERVICES INC | |
| 501 W 14th St Fl, 6 Cchs Infectious Disease, Wilmington, DE 19801-1013 | 3023201300 | CHRISTIANA CARE HEALTH SERVICES INC |
| 501 W 14th St Wilmington Hospital, Wilmington, DE 19801-1013 | CHRISTIANA CARE HEALTH SERVICES INC | |
| 501 W 14th St Wilmington Hospital Gateway, Wilmington, DE 19801-1013 | CHRISTIANA CARE HEALTH SERVICES INC | |
| 501 W 14th St Wilmington Hospital Health Cente, Wilmington, DE 19801-1013 | CHRISTIANA CARE HEALTH SERVICES INC | |
| 501 W 14th St Wilmington Hospital Room, 5w67 Cchs Internal Medicine, Wilmington, DE 19801-1013 | 3023204900 | CHRISTIANA CARE HEALTH SERVICES INC |
| 501 W 14th St Wilmington Hospital Surgical Gat, Cchs Surgery, Wilmington, DE 19801-1013 | 3026233850 | CHRISTIANA CARE HEALTH SERVICES INC |
| 501 W 14th St, Cchs Adult Medicine, Wilmington Hospital 2nd Floor, DE 19801-1013 | 3023204411 | CHRISTIANA CARE HEALTH SERVICES INC |
| Organization Legal Name | CHRISTIANA CARE HEALTH SERVICES INC |
| Physicians | 991 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aimee Stumpo | Nurse Practitioner | Christiana Care Health Services Inc | 726 Yorklyn Rd, Suite 100, Hockessin, DE 19707-8745 |
| Vaidehi H Patel | Occupational Therapy | Christiana Care Health Services Inc | 161 Wilmington W Chester Pike, Cchs Concord Therapy, Chadds Ford, PA 19317-9041 |
| Samantha M Hussnatter | Nurse Practitioner | Christiana Care Health Services Inc | 239 Christiana Rd, New Castle, DE 19720-2907 |
| Lauren E Mcmanus | Psychologist, Clinical | Christiana Care Health Services Inc | 774 Christiana Rd, Suite 201, Newark, DE 19713-4221 |
| Elisabeth C Walsh | Family Medicine | Christiana Care Health Services Inc | 3301 Lancaster Pike, Suite 9, Wilmington, DE 19805-1436 |
| Rabia Hasan | Diagnostic Radiology | Christiana Care Health Services Inc | 300 Biddle Ave, Bldg Suite200, Newark, DE 19702-3969 |
| Amy L Devece | Nurse Practitioner | Christiana Care Health Services Inc | 550 S College Ave, Suite 115, Newark, DE 19716-1308 |
| Heather M Milea | Nurse Practitioner | Christiana Care Health Services Inc | 86 Omega Dr Omega Professional Ctr, B86 Cchs Cardiac Services, Newark, DE 19713-2065 |
| Alicia R Edelblute | Physician Assistant | Christiana Care Health Services Inc | 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2074 |
| Shannon M Virtue | Psychologist, Clinical | Christiana Care Health Services Inc | 161 Wilmington-west Chester Pike, Cchs Concord Psychiatry, Chadds Ford, PA 19317-9041 |
| Street Address |
161 WILIMINGTON W CHESTER PIKE |
| City | CHADDS FORD |
| State | PA |
| Zip | 19317-9041 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara C Gavenonis | Diagnostic Radiology | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Zachary J Collins | Physician Assistant | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Raymond E Carter | Internal Medicine | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Gaurav Shukla | Radiation Oncology | Radiation Oncologists, Pa | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Sarah W Meng | Diagnostic Radiology | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Sheri L. Clemiss | Physical Therapy | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Renee L Crossman | Physical Therapy | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Kristen M Palmer | Qualified Speech Language Pathologist | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Shoheb A Farooqui | Diagnostic Radiology | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Jianfei L Liu | Diagnostic Radiology | Christiana Care Health Services Inc | 161 Wilimington W Chester Pike, Chadds Ford, PA 19317-9041 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wanda J. Crews | Psychologist, Clinical | 610 Chadds Ford Dr, Chadds Ford, PA 19317-7354 | |
| Edythe A Shapiro | Clinical Social Worker | 1290 Baltimore Pike, Suite 200, Chadds Ford, PA 19317-7361 | |
| James Arthur Cesca | Chiropractic | 1290 Baltimore Pike, Suite 106, Chadds Ford, PA 19317-7361 | |
| Francis E Abessinio | Optometry | 98 Wilmington W Chester Pike, Suite 102, Chadds Ford, PA 19317-9010 | |
| Sarah Marie Bruno | Optometry | 98 Wilmington W Chester Pike, Suite 102, Chadds Ford, PA 19317-9029 | |
| Vaidehi H Patel | Occupational Therapy | Christiana Care Health Services Inc | 161 Wilmington W Chester Pike, Cchs Concord Therapy, Chadds Ford, PA 19317-9041 |
| Shannon M Virtue | Psychologist, Clinical | Christiana Care Health Services Inc | 161 Wilmington-west Chester Pike, Cchs Concord Psychiatry, Chadds Ford, PA 19317-9041 |
| Susan B Roth | Diagnostic Radiology | Christiana Care Health Services Inc | 161 Wilmington W Chester Pike, Cchs Concord Radiology, Chadds Ford, PA 19317-9041 |
| Samata K Mcclure | Obstetrics/gynecology | Christiana Care Health Services Inc | 161 Wilmington W Chester Pike, Cchs Concord PCp, Chadds Ford, PA 19317-9041 |
| Aron S Mcconnell | Physical Therapy | Christiana Care Health Services Inc | 161 Wilmington W Chester Pike, Cchs Concord Therapy, Chadds Ford, PA 19317-9041 |
| Find all physicians in zip 19317 | |||
| City | CHADDS FORD |
| Zip Code | 19317 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | CHADDS FORD + OBSTETRICS/GYNECOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.