KATHLEEN M. FAGAN MD – NPI #1528005543
Preventive Medicine

A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions.

KATHLEEN FAGAN is a physician located in CLEVELAND, OH. NPPES has assigned the NPI number 1528005543 to KATHLEEN FAGAN on May 31, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2083P0500X from the Health Care Provider Taxonomy code set, which is classified as Preventive Medicine, specializing in Preventive Medicine/Occupational Environmental Medicine

The NPI profile was previously updated about 18 years ago on Jun 12, 2008. 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 KATHLEEN FAGAN below.

NPI Profile for
KATHLEEN M. FAGAN

NPI Number
1528005543
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KATHLEEN M. FAGAN
Credentials
MD
Primary location
11100 EUCLID AVENUE
CLEVELAND, OH 44106
Phone: (216) 844-7700 Fax: (216) 286-6299
Mailing address
3605 WARRENSVILLE CTR RD
MSC9152
SHAKER HTS, OH 44122
Phone: (216) 286-6299 Fax: (216) 286-6341
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for KATHLEEN FAGAN

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNAOH4052254
OTHERANTHEMOH000000525944
OTHERBCMHOH0607641
OTHERBUCKEYEOH745904
OTHERUNISONOH000000221255
OTHERWELLCAREOH363514
MEDICAIDOH0607641
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
2083P0500X
- Preventive Medicine / Preventive Medicine/Occupational Environmental Medicine (Primary)
OH 35051175

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.