Ryan Fagan, ATC LAT

ActiveIndividual ProviderSpecialty not listed
NPI issued: February 13, 2006

Quick Facts

NPI Number
1114991700
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2255A2300X — Specialty not listed
Phone
(765) 384-4381
StateIN

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1114991700)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (February 13, 2006)
Data source: CMS NPPES

Provider Overview

RYAN FAGAN, ATC LAT is a Healthcare provider based in Converse, IN who has been registered with CMS since 2006. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1114991700
Provider TypeIndividual Provider
GenderMale
CredentialATC LAT
StatusActive
Enumeration DateFebruary 13, 2006

Practice Location

CityConverse
StateIN
ZIP Code46919
Phone(765) 384-4381

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2255A2300X
License StateIN

Mailing Address

CityConverse
StateIN
ZIP Code46919
Phone(765) 384-4381
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1114991700 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1114991700for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1114991700 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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48,897
Specialty not listed Providers in the US

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People Also Ask

What is Ryan Fagan's NPI number?
Ryan Fagan's NPI number is 1114991700, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Ryan Fagan's NPI currently active?
Yes, Ryan Fagan's NPI status is Active as of the latest CMS NPPES database updates.
What does Ryan Fagan specialize in?
Ryan Fagan specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2255A2300X.
Where does Ryan Fagan practice?
Ryan Fagan practices in Converse, IN 46919.
When was Ryan Fagan's NPI issued?
Ryan Fagan's NPI was issued on February 13, 2006.
What is Ryan Fagan's provider type?
Ryan Fagan is registered as an Individual Provider under CMS NPI Type 1.