Roger Fagan, AUD

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

DL95 Issued in ME

Practice address

985 Forest Avenue
Portland, ME 04103

Phone

(207) 797-8738

Fax

(207) 797-8650

NPI assigned

Sep 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. James Roger Fagan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720189012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 FOREST AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-797-8738",
            "fax_number": "207-797-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 FOREST AVENUE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-797-8738",
            "fax_number": "207-797-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "DL95",
            "primary": true
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ME",
            "license": "AP25",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "FAGAN",
            "middle_name": "ROGER",
            "prefix": "DR.",
            "credential": "AUD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Adaora Ezeigwe
• Danielle M Ezekiel, MHRT/C
• Jason Ishmael Ezzy, LMT, AHS
• Fagan Center for Communicaton LLC
• Elizabeth Anne Fagan, SLPD
• Kylie Fagnano, MS, RDN, LDN
• Julie Fagone
• Laura J. Faherty, M.D., M.P.H., M.S.H.
• Patricia Fahey, FNP
• Kathleen McPherson Fairfield, M.D.

• Audiologist-Hearing Aid Fitter in Portland, ME
• Providers in Portland, ME by specialty
• Audiologist-Hearing Aid Fitter in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.