Thomas W Fagg (NPI# 1235127481, PAC ID# 9436248895) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1235127481 |
| PAC ID by PECOS | 9436248895 |
| Professional Enrollment ID | I20071207000680 |
| Full Name | Thomas W Fagg |
| Organization Legal Name | GREENE COUNTY MEDICAL CENTER |
| Address |
1000 W Lincoln Way Jefferson IA 50129-1645 |
| Gender | M |
| Medical School | UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES |
| Graduation Year | 1988 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0143208595 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 161325 | GREENE COUNTY MEDICAL CENTER |
| 161350 | STEWART MEMORIAL COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 W Lincoln Way, Jefferson, IA 50129-1645 | GREENE COUNTY MEDICAL CENTER | |
| 1000 W Lincoln Way, Suite 100, Jefferson, IA 50129-1645 | 5153860500 | GREENE COUNTY MEDICAL CENTER |
| Organization Legal Name | GREENE COUNTY MEDICAL CENTER |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall K Minion | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Autumn R Keiser | Emergency Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Jeffrey R Wahl | Orthopedic Surgery | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Jennifer L Pudenz | Nurse Practitioner | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Valerie N Martin | Nurse Practitioner | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Aftab A Awan | Neurology | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Thomas Paul Young | Internal Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Laurie L Connolly | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Timothy Holcomb | Podiatry | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Thamer Kassim | Emergency Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Street Address |
1000 W LINCOLN WAY |
| City | JEFFERSON |
| State | IA |
| Zip | 50129-1645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall K Minion | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Autumn R Keiser | Emergency Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Jeffrey R Wahl | Orthopedic Surgery | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Jennifer L Pudenz | Nurse Practitioner | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Valerie N Martin | Nurse Practitioner | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Aftab A Awan | Neurology | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Thomas Paul Young | Internal Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Andrew J Keiner | Qualified Audiologist | 1000 W Lincoln Way, Greene County Medical Center, Jefferson, IA 50129-1645 | |
| Laurie L Connolly | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Timothy Holcomb | Podiatry | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thamer Kassim | Emergency Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Diana B Smith | Nurse Practitioner | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Scott D Hoffman | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Josh A Smith | General Surgery | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Glen D Hanson | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Anthony R Ellis | Family Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| David J Koenig | Internal Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Chad J Torstenson | Emergency Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Zeeshan Ali Jawa | Internal Medicine | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Sara E Fleecs | Nurse Practitioner | Greene County Medical Center | 1000 W Lincoln Way, Jefferson, IA 50129-1645 |
| Find all physicians in zip 50129 | |||
| City | JEFFERSON |
| Zip Code | 50129 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JEFFERSON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Thomas W Fagg.
| 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.