DR. ROYCE MILTON FAGAN JR. (NPI# 1407814486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407814486 |
| Entity Type | Individual |
| Full Name | DR. ROYCE MILTON FAGAN JR. |
| Credential | M.D. |
| Practice Address |
9419 Common Brook Rd Suite 200 Owings Mills MD 21117-7536 |
| Mailing Address |
10 Maggies Ct Reisterstown MD 21136-4730 |
| Practice Telephone | 4105811662 |
| Practice Fax Number | 4105811120 |
| Mailing Telephone | 4437448106 |
| Mailing Fax Number | 4105811662 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | C55132 | CA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | D055625 | MD | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | C55132 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 400588100 | 05 |
| Street Address |
9419 COMMON BROOK RD SUITE 200 |
| City | OWINGS MILLS |
| State | MD |
| Zip Code | 21117-7536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083004519 | Diamond Dental of Owings Mills, LLC | Dentist | 9419 Common Brook Rd, Suite 210, Owings Mills, MD 21117-7536 | 2015-02-04 |
| 1275923211 | Lechia Frederick | Nurse Practitioner | 9419 Common Brook Rd, Ste 208, Owings Mills, MD 21117-7570 | 2015-01-29 |
| 1205231610 | Julie Aviva Merrill | Physician Assistant | 9419 Common Brook Rd, Suite 200, Owings Mills, MD 21117-7536 | 2014-10-28 |
| 1689790412 | Biju Cyriac Dds, Pa | Dentist | 9419 Common Brook Rd, Suite 210, Owings Mills, MD 21117-7536 | 2007-03-22 |
| 1255461406 | Biju Cyriac | Dentist | 9419 Common Brook Rd, Suite 210, Owings Mills, MD 21117-7536 | 2007-03-06 |
| 1629127295 | Fagan Practice Associates LLC | Internal Medicine | 9419 Common Brook Rd, Ste 200, Owings Mills, MD 21117-7536 | 2007-01-10 |
| 1699790386 | Steven Schonfeld | Internal Medicine | 9419 Common Brook Rd, Suite 200, Owings Mills, MD 21117-7536 | 2006-07-13 |
| 1184657983 | Neosom East, LLC | Clinic/Center | 9419 Common Brook Rd, Owings Mills, MD 21117-7536 | 2006-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699303727 | Modern Medicine Express Care | Clinic/Center | 1041 Campbell Meadow Rd, Owings Mills, MD 21117 | 2020-04-01 |
| 1679111892 | Abria Therapy, LLC | Behavioral Analyst | 10451 Mill Run Circle, Suite 400, Owings Mills, MD 21117 | 2019-12-18 |
| 1194384917 | Michele Dawson Overtoom | Pharmacist | Wegmans Pharmacy #125, 10100 Reisterstown Road, Owings Mills, MD 21117 | 2019-06-06 |
| 1033675897 | Grace Residential Services, LLC | Clinic/Center | 4117 Brookside Oaks Road, Owings Mills, MD 21117 | 2019-02-18 |
| 1801373246 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10270 Mill Run Circle, Owings Mills, MD 21117 | 2018-07-27 |
| 1922513167 | Vamsh Health Services, LLC | Pharmacy | 10309 Grand Central Ave Ste 110, Owings Mills, MD 21117 | 2017-12-11 |
| 1215456652 | Safari Healthcare | Home Health | 4129 Brookside Oak Road, Owings Mills, MD 21117 | 2017-09-18 |
| 1639697964 | Rachel Tova Goldberg | Behavioral Analyst | 11907 Hunting Tweed Dr., Owings Mills, MD 21117 | 2017-09-07 |
| 1528599149 | Nest Home Care, LLC | In Home Supportive Care | 90 Painters Mill Rd Ste 223, Owings Mills, MD 21117 | 2017-03-24 |
| 1508221243 | Quality Home Care, LLC | In Home Supportive Care | 124 Embleton Road, Owings Mills, MD 21117 | 2015-12-23 |
| Find all providers in zip 21117 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891908786 | Justin Russell Price | Internal Medicine | 9240 Harvest Rush Rd, Owings Mills, MD 21117-4522 | 2007-05-07 |
| 1063548691 | Jay Stephen Margolis | Internal Medicine | 90 Painters Mill Road, Suite 135, Owings Mills, MD 21117 | 2007-02-26 |
| 1942227871 | Elena D. Ghiaur | Internal Medicine | 10085 Red Run Blvd Ste 306, Owings Mills, MD 21117-4832 | 2006-07-16 |
| 1740241827 | Maryjoy G Mejia | Internal Medicine | 4019 Gold Hill Rd, Owings Mills, MD 21117-5050 | 2006-03-29 |
| 1053380816 | Gary Elliot Applebaum | Internal Medicine | 42 Latimore Way, Owings Mills, MD 21117-6000 | 2006-03-15 |
| 1750350468 | H Gerald Oster | Internal Medicine | 12145 Faulkner Dr, Owings Mills, MD 21117-1261 | 2006-03-15 |
| 1932177201 | Julie Vaughn | Internal Medicine | 5 Park Center Ct, Suite 200, Owings Mills, MD 21117-4201 | 2006-03-10 |
| 1194790105 | Pankaj Rohit Desai | Internal Medicine | 90 Painters Mill Rd Ste 205, Owings Mills, MD 21117-3614 | 2006-02-22 |
| 1093143547 | Lifebridge Community Physicians, Inc | Internal Medicine | 20 Crossroads Dr, Suite 101, Owings Mills, MD 21117-5419 | 2013-10-21 |
| 1952739500 | Partnermd Maryland PC | Internal Medicine | 9 Park Center Ct, Suite 200, Owings Mills, MD 21117-5623 | 2013-10-17 |
| Find all providers in OWINGS MILLS | ||||
| City | OWINGS MILLS |
| Zip Code | 21117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.