Joseph Agan, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2211 Issued in AR

Practice address

606 North Razorback Road
Fayetteville, AR 72701

Phone

(479) 575-2070

Fax

(479) 575-4507

NPI assigned

Jul 15, 2008

Last updated

Oct 20, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Arkansas

  • Multi-Specialty Clinic/Center
  • Fayetteville, AR
  • NPI 1619908787
  NPD (past)
• University of Arkansas

  dba University of Arkansas Speech and Hearing Clinic

  • Speech-Language Pathologist
  • Fayetteville, AR
  • NPI 1972726578
  NPD (past)

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1902060346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 SW MIAMI LOOP",
            "address_2": "APT 10",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727017783",
            "telephone_number": "479-283-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 NORTH RAZORBACK ROAD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72701",
            "telephone_number": "479-575-2070",
            "fax_number": "479-575-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168216721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Dermatology & Skin Cancer Center, LLC
• Advanced Medical Specialists, PLLC
• Advanced Monitoring Services, Inc
• Aell Spencer Chiropractic Inc (The Wellness Center)
• Aftersun Psychotherapy & Healing, LLC
• Noelle R Agan, M.S., C.G.C
• Christina Marie Agee, PHARMD
• Kim R Agee, MD
• Clinton L Aguiar, MD
• Brittany N. Aguirre, PHYSICIAN ASSISTANT

• Speech-Language Pathologist in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.