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DR. LEONARD F FAGAN M.D.
NPI 1679570808
Internal Medicine - Cardiovascular Disease in Saint Louis, MO

Active since July 01, 2005
1001 S KIRKWOOD RD, SUITE 100, SAINT LOUIS, MO 63122(314) 965-9980(314) 965-1127 Get Directions Write a Review

NPPES record last updated: May 20, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Leonard F Fagan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LEONARD F FAGAN M.D. (NPI 1679570808) is an individual cardiovascular disease provider in Saint Louis, Missouri, licensed in Missouri (R5G47) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1679570808
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. LEONARD F FAGANCredential: M.D.
Location Address1001 S KIRKWOOD RD, SUITE 100Saint Louis, MO 63122-7254
Mailing Address1001 S Kirkwood Rd, Suite 310Saint Louis, MO 63122-7254 · (314) 965-9980 · Fax (314) 965-1127
Phone(314) 965-9980
Fax(314) 965-1127
Sole ProprietorNo
Enumeration DateJuly 1, 2005
Last NPPES UpdateMay 20, 2016
✔ NPI 1679570808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MO · R5G47
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1001 S KIRKWOOD RD, Saint Louis, MO 63122
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Other Identifiers 3

Medicaid202362620MO
Medicare PINMA3163004MO
Medicare PIN060062786MO

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIAGNOSTIC HEALTH CORPORATION
Physiological Laboratory
1001 S KIRKWOOD RD, SUITE 110
KIRKWOOD, MO 63122
St. Louis County (314) 821-9173
PLASTIC SURGERY CENTER OF ST LOUIS PC
Specialist
1001 S KIRKWOOD RD, STE 160
KIRKWOOD, MO 63122
St. Louis County (314) 984-0461
CHRISTINE PERIASAMY
Occupational Therapist
1001 S KIRKWOOD RD, STE 140
SAINT LOUIS, MO 63122
St. Louis County (314) 821-5300
REBECCA NEHRT MOT, OTR/L
Occupational Therapist
1001 S KIRKWOOD RD, STE 150
KIRKWOOD, MO 63122
St. Louis County (314) 821-7554
ORTHOPEDIC & SPORTS MEDICINE INC
Orthopaedic Surgery
1001 S KIRKWOOD RD, SUITE 120
SAINT LOUIS, MO 63122
St. Louis County (314) 966-8887
ALYSSA DARLAK DPT
Physical Therapist
1001 S KIRKWOOD RD
KIRKWOOD, MO 63122
St. Louis County (314) 821-5300
DR. SHERWYN JORDAN WAYNE M.D.
Orthopaedic Surgery
1001 S KIRKWOOD RD, SUITE 120
SAINT LOUIS, MO 63122
St. Louis County (314) 966-8887
REGINA BALDWIN
Speech-Language Pathologist
1001 S KIRKWOOD RD, SUITE 150
KIRKWOOD, MO 63122
St. Louis County (314) 821-7554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leonard Fagan's NPI number?

The NPI number for Leonard Fagan is 1679570808. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Leonard Fagan located?

Leonard Fagan practices at 1001 S Kirkwood Rd Suite 100, Saint Louis, MO 63122. The listed phone number is (314) 965-9980.

What is Leonard Fagan's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Leonard Fagan was last updated on May 20, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.