Kerry Fagan (NPI# 1821209586, PAC ID# 4183857360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1821209586 |
| PAC ID by PECOS | 4183857360 |
| Professional Enrollment ID | I20140424001446 |
| Full Name | Kerry Fagan |
| Organization Legal Name | LAHEY CLINIC INC |
| Address |
16 Hayden Ave Lexington MA 02421-7929 |
| Phone Number | 7813727100 |
| Gender | F |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 2264336528 |
| Number of Group Practice Members | 1068 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 16 Hayden Ave, Lexington, MA 02421-7929 | 7813727100 | LAHEY CLINIC INC |
| Organization Legal Name | LAHEY CLINIC INC |
| Physicians | 1080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Boudreau | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Zena C Saadeh | Physician Assistant | Lahey Clinic Inc | 152 Conant St, Beverly, MA 01915-1600 |
| Jorge A Alzate | Certified Registered Nurse Anesthetist (crna) | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Olimpia Suciu | Physician Assistant | Lahey Clinic Inc | 281 Lincoln St, Worcester, MA 01605-2138 |
| Anita Erler | Internal Medicine | Lahey Clinic Inc | 50 Mall Rd, Burlington, MA 01803-4537 |
| Kathleen H Mahoney | Nurse Practitioner | Lahey Clinic Inc | 42 Mall Rd, Burlington, MA 01803-4568 |
| Chad Wotkowicz | Urology | Lahey Clinic Inc | 17 Old Rollinsford Rd A, Dover, NH 03820-2833 |
| Sandra J Sullivan | Physician Assistant | Lahey Clinic Inc | 233 Lincoln Ave, Haverhill, MA 01830-6738 |
| John A Saryan | Allergy/immunology | Lahey Clinic Inc | 1 Essex Ctr Dr, Peabody, MA 01960-2901 |
| James A Betti | Urology | Lahey Clinic Inc | 16 Long Sands Rd, York, ME 03909-1147 |
| Street Address |
16 HAYDEN AVE |
| City | LEXINGTON |
| State | MA |
| Zip | 02421-7929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Boudreau | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Teresa L Swango | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Jayashree Prakash Joshi | Occupational Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Mark J Dynan | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Linda E Shepard | Occupational Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Gail M Obrien | Internal Medicine | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Pamela Ryle | Occupational Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Kathryn Wipke | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Shehra Khalifa | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Mary Venafra | Certified Registered Nurse Anesthetist (crna) | Massachusetts General Physicians Organization Inc | 1 Maguire Rd, Lexington, MA 02421-3114 |
| Laura J Bertorelli | Physical Therapy | 110 Hartwell Ave, Suite 300, Lexington, MA 02421-3118 | |
| Hilde M Waerstad | Physical Therapy | Pt4u | 110 Hartwell Ave, Lexington, MA 02421-3118 |
| Sharon Levin | Clinical Social Worker | 76 Bedford St, Suite 22, Lexington, MA 02421-4646 | |
| Nancy A Santoro | Psychologist, Clinical | 4 Militia Dr, Suite 23, Lexington, MA 02421-4717 | |
| Frank J Mccabe | Ophthalmology | Lexington Eye Associates, Inc | 21 Worthen Rd, Lexington, MA 02421-4835 |
| Sean P Thomas | Ophthalmology | Lexington Eye Associates, Inc | 21 Worthen Rd, Lexington, MA 02421-4835 |
| Olivia C Liao | Ophthalmology | Lexington Eye Associates, Inc | 21 Worthen Rd, Lexington, MA 02421-4835 |
| Ann P Burnham | Ophthalmology | Lexington Eye Associates, Inc | 21 Worthen Rd, Lexington, MA 02421-4835 |
| Jennifer P Mullon | Ophthalmology | Lexington Eye Associates, Inc | 21 Worthen Rd, Lexington, MA 02421-4835 |
| Find all physicians in zip 02421 | |||
| City | LEXINGTON |
| Zip Code | 02421 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LEXINGTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kerry Fagan.
| 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.