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DR. ROGER FAGAN AUD NPI 1720189012


NPI Information

NPI: 1720189012
Provider Name: DR. ROGER FAGAN, AUD
Classification: Audiologist-Hearing Aid Fitter - 237600000X
Entity Type: Individual
Address:
985 FOREST AVENUE
PORTLAND, ME
ZIP 04103
Phone: (207) 797-8738
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DR. Roger Fagan, AUD is an audiologist hearing aid fitter in Portland, ME. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. DR. Roger Fagan, AUD NPI is 1720189012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

985 FOREST AVENUE
PORTLAND, ME
ZIP 04103
Phone: (207) 797-8738
Fax: (207) 797-8650

The enumeration date for this NPI number is 9/26/2006 and was last updated on 7/8/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1237600000XAudiologist-Hearing Aid FitterAP25MAINENo
2237600000XAudiologist-Hearing Aid FitterDL95MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1709212MEDICARE ID-TYPE UNSPECIFIEDMAINE

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

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