Thomas Fagan
MD | Pediatric Cardiology | Male
Thomas Fagan, MD is a Madera, California based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Thomas Fagan is
9300 Valley Childrens Pl # Sc05, Madera, California - 93636-8761. He can be contacted on phone at
559-353-5700 and fax number 559-353-5708.
Thomas Fagan is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas Fagan is
1134116494 which was assigned by NPPES on 03 Oct, 2005 and it was last updated on 15 Dec, 2021.
Thomas Fagan license number is
G174751 for Pediatrics Pediatric Cardiology (2080P0202X) in California.
Thomas Fagan provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Thomas Fagan basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
|---|
| Provider Name : | Thomas Fagan |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Thomas Fagan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9300 Valley Childrens Pl # Sc05
Madera, CA, 93636-8761
United States |
|---|
| Phone Number : | 559-353-5700 |
|---|
| Fax Number : | 559-353-5708 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1134116494 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 03 Oct, 2005 |
|---|
| Last Updated On : | 15 Dec, 2021 |
|---|
Medicare Participation:
Thomas Fagan participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7618972662 |
|---|
| Medicare Enrollment ID : | I20220627002479 |
|---|
| Primary Specialty : | Pediatric Medicine |
|---|
| Medical School : | Saint Louis University School Of Medicine |
|---|
| Graduation Year : | 1990 |
|---|
| Accepts Medicare? | Yes. Thomas Fagan accepts medicare insurance. |
|---|
Group Practice Association:
Thomas Fagan is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Thomas Fagan is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| University Pediatricians | 9638070568 | 85 | 3901 Beaubien St
Detroit, MI - 482012119
Ph: 3137455870 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Thomas Fagan are as mentioned. Primary taxonomy code for Thomas Fagan, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | G174751 | CA |
| 2080P0202X | Pediatrics Pediatric Cardiology | No | 53605 | TN |
| 2080P0202X | Pediatrics Pediatric Cardiology | No | 44826 | CO |
Legacy Identifiers:
Other legacy medical identifiers of Thomas Fagan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 30488001 | MEDICAID | CO | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 9300 Valley Childrens Pl # Sc05
Madera, CA, 93636-8761
United States |
|---|
| Phone Number : | 559-353-5700 |
|---|
| Fax Number : | 559-353-5708 |
|---|
Business Location:
Patients can refer following map for directions to
Thomas Fagan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.