Gary Don Fagan, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H9916 Issued in TX

Practice address

751 Hebron Pkwy Ste 100
Lewisville, TX 75057-5002

Phone

(972) 459-2386

Fax

(972) 459-2392

NPI assigned

Aug 20, 2006

Last updated

Feb 18, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/fhir/r4

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

• Lamar Emergency Group PA

  • Emergency Medicine Physician
  • Paris, TX
  • NPI 1346353372
  NPD (past)
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)
• PRMC ER Group Inc

  • Anesthesiology Physician
  • Paris, TX
  • NPI 1366764052
  NPD (past)
• PRMC Healthcare Group Inc

  • General Practice Physician
  • Paris, TX
  • NPI 1457514648

  Family Medicine

  NPD (past)
• Texas Em-1 Medical Services, PA

  • Physician Assistant
  • Corsicana, TX
  • NPI 1124065735
  NPD (past)
• Texas Emergency Room Services PA

  • Emergency Medicine Physician
  • Lufkin, TX
  • NPI 1992843387
  NPD (past)
• Texas Emergency Rooms Services, PA

  • Emergency Medicine Physician
  • Corsicana, TX
  • NPI 1669410619
  NPD (past)

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1679688766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575002",
            "telephone_number": "972-459-2386",
            "fax_number": "972-459-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 HEBRON PKWY STE 100",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750575002",
            "telephone_number": "972-459-2386",
            "fax_number": "972-459-2392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "GARY",
        "middle_name": "DON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H9916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0014HU",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everspring Medical Center
• Eye Care 4 Yeu PLLC (Dream Eye Care)
• Eyemasters of Texas LTD (EyeMasters)
• Ezy Equipment Solution LLC
• Marian Fabyan, PMHNP
• Faith Home Care LLC
• Famcom Technologies LLC
• Meixian Fang, RDA
• Dora Lee Fantroy, MA/PHLEBOTOMIST
• Amy Clare Faris

• Family Medicine Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.