MS. EILEEN MARY FAGAN (NPI# 1780137422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780137422 |
| Entity Type | Individual |
| Full Name | MS. EILEEN MARY FAGAN |
| Credential | NP-C |
| Practice Address |
331 Highland Ave Salem MA 01970-7006 |
| Practice Telephone | 9787451200 |
| Mailing Telephone | 9787451200 |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
171235 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285977553 | Eileen Jewell Fagan | Counselor | 339 Sw Century Dr Ste 201, Bend, OR 97702 | 2013-04-04 |
| Street Address |
331 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970-7006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936531 | Surgical Specialists of The North Shore,inc | Surgery | 331 Highland Ave, Salem, MA 01970-1738 | 2006-03-20 |
| 1558672188 | Poongodi Chandrasekaran | Internal Medicine | 331 Highland Ave, Salem, MA 01970-7006 | 2010-06-29 |
| 1437231032 | Raymond William Waitekus | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-10-20 |
| 1396830469 | Kathleen E Mckinnon | Social Worker | 331 Highland Ave, Salem, MA 01970-7006 | 2006-10-04 |
| 1184646747 | Mario E Motta | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-24 |
| 1427077080 | David F Kahn | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1023037678 | John C Santos | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1114946787 | Marc A Forgione | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1841219409 | Steven Kurzrok | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1518913383 | John T Szymanski | Internal Medicine | 331 Highland Ave, Salem, MA 01970 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
| 1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
| 1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
| 1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
| 1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
| 1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
| 1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
| 1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
| 1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
| 1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
| Find all providers in SALEM | ||||
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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.