MARK J FAGAN MD
NPI 1962449686
Internal Medicine in Providence, RI
NPI Status: Active since June 01, 2006
Contact Information
593 EDDY ST
APC 5
PROVIDENCE, RI
ZIP 02903
Phone: (401) 444-4741
Fax: (401) 444-4445
- Individual
- Male
- Internal Medicine
About MARK FAGAN
This page provides the complete NPI Profile along with additional information for Mark Fagan, an internist established in Providence, Rhode Island with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1962449686 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number MD05975 (RI). The provider is registered as an individual and his NPI record was last updated 9 years ago.
- NPI
- 1962449686
- Provider Name
- MARK J FAGAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 593 EDDY ST APC 5 PROVIDENCE, RI 02903
- Location Phone
- (401) 444-4741
- Location Fax
- (401) 444-4445
- Mailing Address
- 17 VIRGINIA AVE SUITE 107 PROVIDENCE, RI 02905
- Mailing Phone
- (401) 443-4992
- Mailing Fax
- (401) 444-4445
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-01-2006
- Last Update Date
- 09-02-2016
- Code Navigator
An internist like Mark Fagan is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD05975
- License State
- RI
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 007056345 | MEDICARE PIN (08) | RI | |
| 9006702 | MEDICAID (05) | RI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 6 | 2 | 4 | 4 | 9 | 6 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 12 | 2 | 8 | 4 | 18 | 6 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 2 + 2 + 8 + 4 + 1 + 8 + 6 + 1 + 6 + 24 = 74 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 74 = 6 | 6 | ||||||||
The NPI number 1962449686 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1235134495 | DR. CHANDAN LAKHIANI MD Individual | Pediatrics | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-4691 |
| 1215933908 | RACHEL ALLISON ALTURA MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 593 EDDY ST HASBRO LL PROVIDENCE, RI 02903 (401) 444-5241 |
| 1255338240 | MOHAMMED FAIZAN M.D. Individual | Pediatrics (Pediatric Nephrology) | 593 EDDY ST HASBRO 122 PROVIDENCE, RI 02903 (401) 444-6195 |
| 1477551992 | DR. PETER J QUESENBERRY MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-4830 |
| 1235138843 | DR. SUSAN L. PLANTE PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 593 EDDY ST PHARMACY SERVICES PROVIDENCE, RI 02903 (401) 444-9075 |
| 1275533077 | ZHANHONG MI CNP Individual | Nurse Practitioner | 593 EDDY ST APC 456 PROVIDENCE, RI 02903 (401) 444-5545 |
| 1093707655 | KEITH B SUNDERLIN PAC Individual | Physician Assistant | 593 EDDY ST APC 4 PROVIDENCE, RI 02903 (401) 444-4000 |
| 1073500757 | DR. MARK E. MATTINGLY M.D. Individual | Internal Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 444-3985 |
| 1306837323 | MS. JO-ANN BERGERON POLSKY BS, MPH, RD Individual | Nutritionist | 593 EDDY ST RHODE ISLAND HOSPITAL POB 334 PROVIDENCE, RI 02903 (401) 444-4422 |
| 1215919782 | DR. SUZANNE E MCLAUGHLIN M.D. Individual | Internal Medicine | 593 EDDY ST POB-224 MED/PEDS CLINIC PROVIDENCE, RI 02903 (401) 444-6118 |
| 1619950581 | DR. JAY M. BARUCH M.D. Individual | Emergency Medicine | 593 EDDY ST PROVIDENCE, RI 02903 (401) 519-1604 |
| 1083698575 | ALI KAZIM M.D. Individual | Psychiatry & Neurology (Forensic Psychiatry) | 593 EDDY ST RHODE ISLAND HOSPITAL PROVIDENCE, RI 02903 (404) 444-4779 |
| 1750365797 | DR. KRISTIN LEE BRUNING MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-4515 |
| 1013991926 | HUMERA KHURSHID MD Individual | Internal Medicine (Hematology & Oncology) | 593 EDDY ST APC MAIN PROVIDENCE, RI 02903 (401) 444-5435 |
| 1407830334 | THOMAS ALLEN ROESLER MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 593 EDDY ST PHYSICIAN'S OFFICE BLDG., # 122 PROVIDENCE, RI 02903 (401) 444-4515 |
| 1699750067 | RICHARD C ARCHAMBAULT EDD Individual | Marriage & Family Therapist | 593 EDDY ST POTTER 3 PROVIDENCE, RI 02903 (401) 444-3534 |
| 1679559371 | DR. CELIA MARIA LESCANO PHD Individual | Psychologist (Clinical) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8539 |
| 1467438184 | DR. ROBYN S MEHLENBECK PHD Individual | Psychologist (Clinical Child & Adolescent) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 444-8638 |
| 1881679512 | RENDUELES VILLALBA II MD Individual | Psychiatry & Neurology (Psychiatry) | 593 EDDY ST POTTER 2 PROVIDENCE, RI 02903 (401) 444-2128 |
| 1386620466 | DR. HENRY R LESIEUR PSYD, PHD Individual | Psychologist (Addiction (Substance Use Disorder)) | 593 EDDY ST APC 970 PROVIDENCE, RI 02903 (401) 277-0700 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1962449686, enumerated in the NPI registry as an "individual" on June 01, 2006
The provider is located at 593 Eddy St Apc 5 Providence, Ri 02903 and the phone number is (401) 444-4741
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.