Brian D Fagan (NPI# 1881634210, PAC ID# 8820073992) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1881634210 |
| PAC ID by PECOS | 8820073992 |
| Professional Enrollment ID | I20090206000473 |
| Full Name | Brian D Fagan |
| Address |
244 Hospital Dr A Ukiah CA 95482-4557 |
| Phone Number | 7074685000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KANSAS SCHOOL OF MEDICINE |
| Graduation Year | 1981 |
| Primary Specialty | GENERAL SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050301 | UKIAH VALLEY MEDICAL CENTER |
| 051310 | FRANK R HOWARD MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 244 Hospital Dr A, Ukiah, CA 95482-4557 | 7074685000 |
| Street Address |
244 HOSPITAL DR A |
| City | UKIAH |
| State | CA |
| Zip | 95482-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry C Falk | General Surgery | 244 Hospital Dr A, Ukiah, CA 95482-4557 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Howard Andrew Coren | Family Medicine | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Janis Woesner | Nurse Practitioner | Adventist Health Physicians Network | 1050 N State St, Ukiah, CA 95482-3414 |
| Vincent P Valente | Obstetrics/gynecology | Ukiah Valley Primary Care Medical Group, Inc | 1050 N State St, Ukiah, CA 95482-3414 |
| Christine J Miller | Chiropractic | 101 W Church St, Suite 3, Ukiah, CA 95482-3615 | |
| Brenda Flynn Clark | Clinical Social Worker | 601 N State St, Brenda Flynn Clark Psychotherapy, Ukiah, CA 95482-4026 | |
| Laura M Mares | Clinical Social Worker | 359 N Oak St, Ukiah, CA 95482-4302 | |
| Marilyn K Gilbreath | Optometry | Gilbreath and Park Optometry Inc. | 102 Scott St, Ukiah, CA 95482-4316 |
| Sara C Stark | Clinical Psychologist | 406 W Standley St, Ukiah, CA 95482-4348 | |
| Lee Howard Vagt | Chiropractic | 461 N State St, Ukiah, CA 95482-4421 | |
| Georgina L Calderon | Emergency Medicine | Pacific Redwood Medical Group Inc | 275 Hospital Dr, Ukiah, CA 95482-4531 |
| Find all physicians in zip 95482 | |||
| City | UKIAH |
| Zip Code | 95482 |
| Specialty | GENERAL SURGERY |
| City + Specialty | UKIAH + GENERAL SURGERY |
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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.