Active NPI
Michael Egan, M.D.
- Rheumatology Physician
- North Dartmouth, MA
National Provider Identifier
1538149281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 39739
- Practice address
- 535 Faunce Corner
North Dartmouth, MA 02747 - Phone
- (508) 961-0665
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 39739 | MA | |
| Rheumatology Physician | 207RR0500X | 39739 | MA | Primary |
Addresses
Primary practice location
535 Faunce Corner
North Dartmouth, MA 02747
Mailing address
535 Faunce Corner
North Dartmouth, MA 02747
Phone (508) 996-3991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2057158 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1538149281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "535 FAUNCE CORNER",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "508-996-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 FAUNCE CORNER",
"city": "NORTH DARTMOUTH",
"state": "MA",
"postal_code": "02747",
"telephone_number": "508-961-0665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGAN",
"first_name": "MICHAEL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "39739",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "MA",
"license": "39739",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2057158",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.