Active NPI
Steven M Bagan, MD PC
- Ophthalmology Physician
- Fargo, ND
National Provider Identifier
1275862344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 443
- Legal business name
- STEVEN M BAGAN, MD PC
- Practice address
- 4344 20TH Ave S
Fargo, ND 58103-7436 - Phone
- (701) 293-8242
- Fax
- (701) 293-0909
- NPI assigned
- Dec 18, 2009
- Last updated
- Dec 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven M Bagan, M.D.
- Title
- Owner
- Phone
- (701) 293-8242
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 443 | ND | Primary |
Addresses
Primary practice location
4344 20TH Ave S
Fargo, ND 58103-7436
Mailing address
4344 20TH Ave S
Fargo, ND 58103-7436
Phone (701) 293-8242
National Provider Directory
National Provider DirectoryLocations
4344 20th Ave SW
Fargo, ND 58103
Phone (701) 293-8242
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Fargo, ND
- NPI 1487747267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1275862344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4344 20TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581037436",
"telephone_number": "701-293-8242",
"fax_number": "701-293-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4344 20TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581037436",
"telephone_number": "701-293-8242",
"fax_number": "701-293-0909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN M BAGAN, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-18",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "BAGAN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "701-293-8242",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ND",
"license": "443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.