Paul A Fagan (NPI# 1063646305, PAC ID# 1951616630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1063646305 |
| PAC ID by PECOS | 1951616630 |
| Professional Enrollment ID | I20150811004276 |
| Full Name | Paul A Fagan |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
855 N Westhaven Dr Oshkosh WI 54904-7668 |
| Phone Number | 9203038700 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520198 | AURORA MEDICAL CENTER OSHKOSH |
| Address | Phone | Organization |
|---|---|---|
| 855 N Westhaven Dr, Oshkosh, WI 54904-7668 | 9203038700 | AURORA MEDICAL GROUP INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_113_overall | Colorectal Cancer Screening | 75% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 39% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 98% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
855 N WESTHAVEN DR |
| City | OSHKOSH |
| State | WI |
| Zip | 54904-7668 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Xing Kong | Nurse Practitioner | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Michele M Osborne | Certified Registered Nurse Anesthetist (crna) | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Lindsay Rb Locklar | Certified Nurse Midwife (cnm) | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Brian Temple | Infectious Disease | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Kay A Zier | Nurse Practitioner | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Suzanne M Kiefer | Nurse Practitioner | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Robert D Geck | Pulmonary Disease | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Aroti Achari | Obstetrics/gynecology | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Gurkit K Miranpuri | Family Medicine | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Mark T Weidemann | Nurse Practitioner | Aurora Medical Group Inc | 855 N Westhaven Dr, Oshkosh, WI 54904-7668 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin E Gage | Clinical Social Worker | 2325 State Rd, Suite 44, Oshkosh, WI 54904-6333 | |
| Michelle L Cihla | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
| Nicole L Cote | Dermatology | Forefront Dermatology Sc | 2351 State Rd, Suite 44, Oshkosh, WI 54904-6333 |
| Lori J Schaetz | Occupational Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
| Eric L Koehler | Physical Therapy | Physical Achievement Center LLC | 3111 Sawyer Creek Dr, Oshkosh, WI 54904-6362 |
| Jared M Drummond | Qualified Audiologist | 2390 State Rd, 44 Suite D, Oshkosh, WI 54904-6438 | |
| Karen M Gremminger | Medical Oncology | Thedacare Incorporated | 491 S Washburn St, Suite 100, Oshkosh, WI 54904-6733 |
| Krystina M Pischke | Family Medicine | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Jolynn M Kekke | Physician Assistant | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Brian J Robertson Dick | Physical Medicine and Rehabilitation | Thedacare Incorporated | 600 N Westhaven Dr, Oshkosh, WI 54904-6926 |
| Find all physicians in zip 54904 | |||
| City | OSHKOSH |
| Zip Code | 54904 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OSHKOSH + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Paul A 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.