Kimberly E Fagen (NPI# 1194795609, PAC ID# 8426239138) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1194795609 |
| PAC ID by PECOS | 8426239138 |
| Professional Enrollment ID | I20110228000655 |
| Full Name | Kimberly E Fagen |
| Organization Legal Name | STEUBEN RADIOLOGY ASSOCIATES INC |
| Address |
9322 Pebble Beach Court E Seminole FL 33777-4532 |
| Phone Number | 6196024827 |
| Gender | F |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2961416946 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360211 | TRINITY MEDICAL CTR EAST &TRINITY MEDICAL CTR WEST |
| 490053 | JOHNSTON MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3703 Dupont Ave, Kensington, MD 20895-2511 | 6196024827 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 3703 Dupont Ave, Kensington, MD 20895-2511 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 7516 Rigby Ct, Lakewood Ranch, FL 34202-2453 | 8707610168 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 171 N Shore Dr, Unit 171 4, Miami Beach, FL 33141-3927 | 8327293447 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| 9322 Pebble Beach Court E, Seminole, FL 33777-4532 | 6196024827 | STEUBEN RADIOLOGY ASSOCIATES INC |
| 9322 Pebble Beach Court E, Seminole, FL 33777-4532 | 9525951100 | VIRTUAL RADIOLOGIC PROFESSIONALS LLC |
| Organization Legal Name | STEUBEN RADIOLOGY ASSOCIATES INC |
| Physicians | 21 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence S Liebman | Diagnostic Radiology | Steuben Radiology Associates Inc | 500 E 77th St, Apt 524, New York, NY 10162-0002 |
| Robert L Miller | Diagnostic Radiology | Steuben Radiology Associates Inc | 280 Island Ave, Apt 1501, Reno, NV 89501-1806 |
| Jacob E Brown | Diagnostic Radiology | Steuben Radiology Associates Inc | 2011 Spring Hill Rd, Pittsburgh, PA 15243-1416 |
| Jeffrey Clark | Diagnostic Radiology | Steuben Radiology Associates Inc | 380 Summit Ave, Steubenville, OH 43952-2667 |
| Raymond J Facco | Diagnostic Radiology | Steuben Radiology Associates Inc | 32848 N 43rd St, Cave Creek, AZ 85331-5089 |
| Peter B Zelinka | Diagnostic Radiology | Steuben Radiology Associates Inc | 221 N Parker Hill Rd, Killingworth, CT 06419-1124 |
| Peter T Verhey | Diagnostic Radiology | Steuben Radiology Associates Inc | 4 Black Horse Ct, Washoe Valley, NV 89704-8557 |
| Michael C Rethy | Diagnostic Radiology | Steuben Radiology Associates Inc | 3310 Ordway St Nw, Washington, DC 20008-3260 |
| Amy Elizabeth J Brice | Diagnostic Radiology | Steuben Radiology Associates Inc | 2 Overlook Dr, Sandwich, MA 02563-2349 |
| Michael H Parker | Diagnostic Radiology | Steuben Radiology Associates Inc | 5662 Danieli Dr N, Lake Park, GA 31636-2824 |
| Street Address |
9322 PEBBLE BEACH COURT E |
| City | SEMINOLE |
| State | FL |
| Zip | 33777-4532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon M Cook | Psychologist, Clinical | 10500 Starkey Rd, Largo, FL 33777-1137 | |
| Whitney Johnson | Physician Assistant | Clearwater Cardiovascular and Interventional Consultants Md Pa | 8839 Bryan Dairy Rd, Suite 300, Largo, FL 33777-1207 |
| Jeffrey T Lipscomb | Physician Assistant | Clearwater Cardiovascular and Interventional Consultants Md Pa | 8839 Bryan Dairy Rd, Suite 300, Largo, FL 33777-1207 |
| Margaret Laukaitis | Internal Medicine | Davita Medical Florida, Inc. | 8839 Bryan Dairy Rd, Largo, FL 33777-1207 |
| Marsha E Cline | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| David S Epstein | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Robert J Entel | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Jayne M. Bernier | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Alex J Weiss | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Upen J Patel | Diagnostic Radiology | Morton Plant Health Services Inc | 8787 Bryan Dairy Rd, Largo, FL 33777-1251 |
| Find all physicians in zip 33777 | |||
| City | SEMINOLE |
| Zip Code | 33777 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SEMINOLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kimberly E Fagen.
| 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.