Active NPI
Fagin Associates
- Anesthesiology Physician
- Roswell, GA
National Provider Identifier
1861079519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- FAGIN ASSOCIATES
- Practice address
- 300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892 - Phone
- (570) 507-7553
- NPI assigned
- Mar 27, 2021
- 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
- Donell Marecheau
- Title
- Compliance
- Phone
- (570) 507-7553
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892
Mailing address
300 Colonial Center Pkwy Ste 100N
Roswell, GA 30076-4892
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616803200000",
"number": "1861079519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 COLONIAL CENTER PKWY STE 100N",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 COLONIAL CENTER PKWY STE 100N",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764892",
"telephone_number": "570-507-7553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAGIN ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-27",
"last_updated": "2021-03-27",
"certification_date": "2021-03-27",
"status": "A",
"authorized_official_last_name": "MARECHEAU",
"authorized_official_first_name": "DONELL",
"authorized_official_title_or_position": "COMPLIANCE",
"authorized_official_telephone_number": "570-507-7553"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.