John David Fagan, MD
John David Fagan, MD is an Urology in Vicksburg, Mississippi. Graduated from University of Texas Medical Branch at Galveston in 1984, 42 years ago. Practices with Vicksburg Clinic LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Mississippi.
- Years since qualifying
- 42
- Trained at
- University of Texas Medical Branch at Galveston
- Licensed in
- MS
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2200 Highway 61 NVicksburg, MS 39183-8246
Phone: (601) 883-5940
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Urology Physician (primary) | Taxonomy 208800000X · Licence 12624 (MS) |
|---|
Record details
| NPI number | 1801827019 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 5, 2006 |
| Last updated in NPPES | September 10, 2020 |
| Certification date | September 10, 2020 |
| Mailing address | 2080 South Frontage Rd, Suite 100, Vicksburg, MS 39180 |
Medicare enrollment
| Medicare specialty | UROLOGY |
|---|---|
| Medical school | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduated | 1984 (42 years in practice) |
| Group practice | Vicksburg Clinic Llc — 27 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |