Lynne L Fagan (NPI# 1023113495, PAC ID# 1951469360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023113495 |
| PAC ID by PECOS | 1951469360 |
| Professional Enrollment ID | I20081224000176 |
| Full Name | Lynne L Fagan |
| Organization Legal Name | MEDICAL ASSOCIATES OF RESTON INC |
| Address |
1800 Town Ctr Dr Suite 212 Reston VA 20190-3238 |
| Phone Number | 7034352227 |
| Gender | F |
| Medical School | ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY |
| Graduation Year | 1984 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567452964 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490107 | RESTON HOSPITAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1800 Town Ctr Dr, Suite 212, Reston, VA 20190-3238 | 7034352227 | MEDICAL ASSOCIATES OF RESTON INC |
| 1800 Town Ctr Dr, Reston, VA 20190-3238 | 7034352227 | MEDICAL ASSOCIATES OF RESTON INC |
| Organization Legal Name | MEDICAL ASSOCIATES OF RESTON INC |
| Physicians | 1 |
| Street Address |
1800 TOWN CTR DR SUITE 212 |
| City | RESTON |
| State | VA |
| Zip | 20190-3238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chun Hong | Internal Medicine | 1800 Town Ctr Dr, Suite 416, Reston, VA 20190-3240 | |
| Juan A Trinidad | General Practice | 1800 Town Ctr Dr, Suite 310, Reston, VA 20190-3215 | |
| Wendy R Gottlieb | Plastic and Reconstructive Surgery | 1800 Town Ctr Dr, Suite 418, Reston, VA 20190-3240 | |
| Camilla C Hersh | Obstetrics/gynecology | Loudoun Medical Group PC | 1800 Town Ctr Dr, Suite 220, Reston, VA 20190-3238 |
| Tessa M Cholmondeley | Internal Medicine | 1800 Town Ctr Dr, Suite 212, Reston, VA 20190-3238 | |
| Arnold C Small | Psychologist, Clinical | 1800 Town Ctr Dr, Suite 411, Reston, VA 20190-3240 | |
| Bruce M Freedman | Plastic and Reconstructive Surgery | 1800 Town Ctr Dr, Suite 413, Reston, VA 20190-3240 | |
| Dennis W Sager | Internal Medicine | 1800 Town Ctr Dr, Suite 313, Reston, VA 20190-3200 | |
| Gwilym Parry | Internal Medicine | 1800 Town Ctr Dr, Suite 212, Reston, VA 20190-3238 | |
| Theodore S Sebastien | Dermatology | 1800 Town Ctr Dr, Suite 415, Reston, VA 20190-3240 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Courtney E Hasseman | Certified Nurse Midwife | Specialty Physicians of Northern Virginia, LLC | 1860 Town Ctr Dr, Suite 440, Reston, VA 20190 |
| Andrew Harris Gordon | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Christina M Barnett | Physician Assistant | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Melissa Guerra | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Kellyann Clark | Nurse Practitioner | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Payam Pooyan | Internal Medicine | Intensive Care Consortium Inc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Valerie Jones | Physical Medicine and Rehabilitation | Post-acute Physicians of Virginia Pllc | 1850 Town Ctr Pkwy, Reston, VA 20190-3204 |
| Donald G Hope | Neurosurgery | 1830 Town Ctr Dr, Suite 103, Reston, VA 20190-3216 | |
| Phoebe B Joseph | Nurse Practitioner | Privia Medical Group,llc | 1830 Town Ctr Dr, Suite 103, Reston, VA 20190-3216 |
| Alison Black | Obstetrics/gynecology | Privia Medical Group,llc | 1830 Town Ctr Dr, Suite 103, Reston, VA 20190-3216 |
| Find all physicians in zip 20190 | |||
| City | RESTON |
| Zip Code | 20190 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | RESTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lynne L Fagan.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.