MCCALL FAGAN


Address: 5323 South Woodrow Street, Suite 200, Murray, UT 84107
Phone: 8017471020

MCCALL FAGAN (NPI# 1528052289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528052289
Entity Type Individual
Full Name MCCALL FAGAN
Credential PA-C
Practice Address 5323 South Woodrow Street
Suite 200
Murray
UT 84107
Practice Telephone 8017471020
Practice Fax Number 8017471023
Mailing Telephone 8017471020
Mailing Fax Number 8017471023
Enumeration Date 2005-09-08
Last Update Date 2008-12-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
5256821-1206 UT Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5323 SOUTH WOODROW STREET
SUITE 200
City MURRAY
State UT
Zip Code 84107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104000637 Allen R Groebs Md PC Orthopaedic Surgery 5323 South Woodrow Street, Suite 200, Murray, UT 84107 2007-12-19
1295919728 Brian W Fukushima Md PC Orthopaedic Surgery 5323 South Woodrow Street, Suite 200, Murray, UT 84107 2007-12-19
1114101649 Justin P Hawes Md PC Orthopaedic Surgery 5323 South Woodrow Street, Suite 200, Murray, UT 84107 2007-12-19
1164453106 Stephen Warner Orthopaedic Surgery 5323 South Woodrow Street, Suite 200, Murray, UT 84107 2006-07-06
1508896226 Justin P Hawes Orthopaedic Surgery 5323 South Woodrow Street, Suite 200, Murray, UT 84107 2006-07-05
1841228905 Allen R Groebs Orthopaedic Surgery 5323 South Woodrow Street, Suite 200, Murray, UT 84107 2006-06-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902410517 Brielle Nicole Poulter Student in an Organized Health Care Education/Training Program 345 East 4500 So #260, Murray, UT 84107 2020-09-01
1467016592 Ashlee Brown Social Worker C-134, 5284 Commerce Drive, Murray, Murray, UT 84107 2019-04-24
1568940633 Samantha Duff Occupational Therapist 5770 S Fashion Blvd, Bldg 5 Ste 201, Murray, UT 84107 2018-08-01
1881185247 Derek John Sharp Occupational Therapist 5770 S Fashion Blvd, Bldg #5, Suite 210, Murray, UT 84107 2018-05-22
1093223091 Erin Nicole Hill Counselor 345 East 4500 South Suite 260, Murray, UT 84107 2018-01-12
1588171219 Nicole Danielle Jensen Counselor 345 East 4500 South, Suite 260, Murray, UT 84107 2018-01-03
1043725799 Greater Endodontics LLC Dentist 5334 South Woodrow Street, Suite 201, Salt Lake City, UT 84107 2017-12-04
1043739667 Karyn K Hodge Audiologist 4500 So. 777. E. Ste #110, Murray, UT 84107 2017-09-14
1912426750 Brandon C Burton Specialist/Technologist, Other Cta Community Supports 4444 S, 700 E Suite 203, Salt Lake City, UT 84107 2017-09-13
1396261152 Megan Lehane Delano Plastic Surgery 5169 Cottonwood St Ste 420, Murray, UT 84107 2017-08-14
Find all providers in zip 84107

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891230041 Sarah Danielle Mendenhall Physician Assistant 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 2016-12-26
1982869210 Scott D Taylor Physician Assistant 5323 Woodrow St Ste 102, Murray, UT 84107-5853 2008-07-25
1154315521 Lorie Lee Physician Assistant 5848 Fashion Blvd, Murray, UT 84107-6121 2005-08-31
1366877029 Robert Chad Bannon Physician Assistant 5121 S Cottonwood St, Ste 950, Murray, UT 84107-5701 2013-09-12
1295071801 Jason Holden Physician Assistant 5848 S Fashion Blvd, Murray, UT 84107-6121 2012-12-31
1083917355 John Dudley Duross Physician Assistant 5121 South Cottonwood Street, Murray, UT 84157 2010-12-08
1154639276 Kristi Reinschmidt Physician Assistant 5169 Cottonwood St, Suite 320, Murray, UT 84107-6767 2010-09-23
1568773935 Amanda Dunn Physician Assistant 5770 S 250 E Ste 285, Murray, UT 84107-8194 2010-06-30
1821240243 Joseph Lawrence Sartori Physician Assistant 5444 Green St, Murray, UT 84123-5632 2008-10-16
1710098058 James G Rowley Physician Assistant 5848 Fashion Blvd, Murray, UT 84107-6121 2006-08-31
Find all providers in MURRAY

Competitor

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City MURRAY
Zip Code 84107

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Dataset Information

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.

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