SETH A. FAGERLIE MD – NPI #1659352763
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

SETH FAGERLIE is a physician located in PHOENIX, AZ. NPPES has assigned the NPI number 1659352763 to SETH FAGERLIE on November 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207P00000X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine.

The NPI profile was previously updated about 19 years ago on Nov 12, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SETH FAGERLIE below.

NPI Profile for
SETH A. FAGERLIE

NPI Number
1659352763
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
SETH A. FAGERLIE
Credentials
MD
Primary location
5102 W CAMPBELL AVE
PHOENIX, AZ 85031-1703
Phone: (623) 848-5000 Fax:
Mailing address
26078 N 71ST DR
PEORIA, AZ 85383-7318
Phone: (623) 362-3733 Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for SETH FAGERLIE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELD GRAZAZ0728670
OTHEREVERCARE GROUPAZ39-81220
OTHERHEALTHNET GROUPAZAW1436
MEDICAIDAZ936239
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207P00000X
- Emergency Medicine (Primary)
AZ 33539

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
SETH FAGERLIE is affiliated with the following medical group(s):
  • HOSPITAL
    • ABRAZO ARROWHEAD HOSPITAL
      18701 NORTH 67TH AVENUE
      GLENDALE, AZ 85308

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.