Kathleen M Fagan in Cleveland - Preventive Medicine/occupational Environmental Medicine

Kathleen M Fagan - NPI 1528005543

Kathleen M Fagan is a Preventive Medicine/occupational Environmental Medicine in Cleveland, Ohio. Kathleen M Fagan practices all healthcare services and medical treatments related to Preventive Medicine/occupational Environmental Medicine. The NPI Number for Kathleen M Fagan is 1528005543. The last update date is 2008-06-12.

Kathleen M Fagan's current location address is 11100 Euclid Avenue, Cleveland, Ohio. You can contact this provider via phone number 2168447700 and fax number 2162866299. The mailing address for Kathleen M Fagan is 11100 Euclid Avenue, Cleveland, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen M Fagan
Address 11100 Euclid Avenue, Cleveland, Ohio
Phone Number 2168447700
Fax Number 2162866299
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1528005543
Provider Enumeration Date 2006-05-31
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address 11100 Euclid Avenue
City Cleveland
State Ohio (OH)
Post Code 44106
Phone Number 2168447700
Fax Number 2162866299

Provider's Primary Taxonomy Detail

Speciality Preventive Medicine/occupational Environmental Medicine
Taxonomy 2083P0500X
Licence No 35051175
Definition:
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
607641 OH --
221255 OH UNISON
4052254 OH AETNA
525944 OH ANTHEM
363514 OH WELLCARE
607641 OH BCMH
745904 OH BUCKEYE

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FAQs about Kathleen M Fagan

What is the Kathleen M Fagan's unique identification number?

The Kathleen M Fagan has been assigned the NPI (National Provider Identifier) Number 1528005543 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Kathleen M Fagan is physically located?

The Kathleen M Fagan is physically situated at the following address: 11100 Euclid Avenue, Cleveland, OH, 44106.

What is the Kathleen M Fagan's area of specialization and corresponding taxonomy classification?

The Kathleen M Fagan's specialty field is Preventive Medicine/occupational Environmental Medicine, and it falls under the taxonomy code 2083P0500X, which categorizes healthcare providers based on their specialties.

On what date was the 1528005543 assigned to Kathleen M Fagan?

The Kathleen M Fagan was issued its 1528005543 on 2006-05-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Kathleen M Fagan most recently updated?

The details pertaining to the Kathleen M Fagan, including its address, specialty, and other relevant information, were last refreshed on 2008-06-12.

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