David Fagan, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

8707 Issued in NH

Legal business name

DAVID FAGAN, MD

Practice address

79 Swiftwater Rd
Suite 2
Woodsville, NH 03785-1447

Phone

(603) 747-2900

Fax

(603) 747-2992

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Bonnie L Brill, CPC

Title

Office Manager

Phone

(603) 747-2900

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carole Elizabeth Bibeau, MD

  • Internal Medicine Physician
  • Lebanon, NH
  • NPI 1932156585
  NPD (past)
• Cynthia L Holloran, NP

  • Nurse Practitioner
  • Woodsville, NH
  • NPI 1114954864
  NPD (past)
• Marlene S Sarkis, MD

  • Internal Medicine Physician
  • Woodsville, NH
  • NPI 1720014350
  NPD (past)
• Mark Steven Brezina, NP

  • Acute Care Nurse Practitioner
  • Boston, MA
  • NPI 1639398175
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1972709137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 SWIFTWATER RD",
            "address_2": "SUITE 2",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037851447",
            "telephone_number": "603-747-2900",
            "fax_number": "603-747-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 SWIFTWATER RD",
            "address_2": "SUITE 2",
            "city": "WOODSVILLE",
            "state": "NH",
            "postal_code": "037851447",
            "telephone_number": "603-747-2900",
            "fax_number": "603-747-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID FAGAN, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "603-747-2900",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "8707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80002165",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2165",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BC",
            "identifier": "FAGA18669",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cottage Hospital
• Cottage Hospital (Cottage Hospital Lab Services)
• Cottage Hospital
• Sydney Croteaugorton, LCMHC
• Christopher S. Danielson, D.O.
• Sarah Davis, LCMHC
• Dillard Lovell Dehart, D.O.
• Stephanie Dewolf, LICSW
• Dougald Macarthur
• Carol Emerson, PT

• Internal Medicine Physician in Woodsville, NH
• Providers in Woodsville, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.