MS. STACY LOUISE FAGAN P.A. NPI 1841444098

NPI Information

NPI: 1841444098
Provider Name: MS. STACY LOUISE FAGAN, P.A.
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK
ZIP 73107
Phone: (405) 605-5415
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MS. Stacy Louise Fagan, P.A. is a medical physician assistant in Oklahoma City, OK with 16 years of experience. MS. Stacy Louise Fagan, P.A. NPI is 1841444098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2512 N MERIDIAN AVE
OKLAHOMA CITY, OK
ZIP 73107-035
Phone: (405) 605-5415
Fax: (405) 605-5310

The NPI 1841444098 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2008 and was last updated on 2/9/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	1779	OKLAHOMA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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