Nancy Egan, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

11936 Issued in ME

Practice address

14 Maine St
Suite 201
Brunswick, ME 04011-2026

Phone

(207) 725-5197

Fax

(207) 798-4658

NPI assigned

Jul 18, 2005

Last updated

Dec 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: nancy.egan@dermassoc.eclinicaldirectplus.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1013916410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MAINE ST",
            "address_2": "SUITE 201",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112026",
            "telephone_number": "207-725-5197",
            "fax_number": "207-798-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MAINE ST",
            "address_2": "SUITE 201",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040112026",
            "telephone_number": "207-725-5197",
            "fax_number": "207-798-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "NANCY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "11936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115270099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pamela Dyer, RN-BC
• Abrianne Eagers, RN
• Amber Eckerson, DMD
• Margaret Edelstein, LCPC-C
• Steven R Edwards, D.O
• William Eickhoff
• Eileen W. Johnson, LCSW, LLC
• Tiffany Eisenhauer, PA-C
• Betsy Elder, LCPC-C
• Eldercare at Parkview

• Dermatology Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Dermatology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.