Steven Joseph Fagan, D.O.

Primary specialty

Neuroradiology PhysicianTaxonomy code 2085N0700X

License

0703 Issued in SC

Practice address

128 Anita Dr
Manahawkin, NJ 08050-3603

Phone

(843) 200-2815

NPI assigned

Aug 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Premier Imaging Group, Inc

  • Diagnostic Radiology Physician
  • Fremont, OH
  • NPI 1659351963
  NPD (past)

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493942400000",
    "number": "1528060258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 ANITA DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503603",
            "telephone_number": "843-200-2815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 ANITA DR",
            "city": "MANAHAWKIN",
            "state": "NJ",
            "postal_code": "080503603",
            "telephone_number": "843-200-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "STEVEN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2017-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "SC",
            "license": "0703",
            "primary": true
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ME",
            "license": "1031",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "FL",
            "license": "OS 8412",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Richard Erickson, M.D.
• Erickson, Dreizen and Lee Eye Center, PA
• Euthymia Mental Health Services
• Kathrine Evans, LMFT
• Cavene Facey, PMHNP-BC
• Jared Fagans
• Teri L Falconer, PAC
• Melanie Fallon
• Saima Obaid Farghani, MD
• Marc Feder, M.D.

• Neuroradiology Physician in Manahawkin, NJ
• Providers in Manahawkin, NJ by specialty
• Neuroradiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2017; 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.