Johnathan S. Fagg, MD
Pulmonology · Saint Louis, MO
UnclaimedMDNPI 1811427636
- Primary taxonomy
- 207RP1001X
- Enumerated
- 2017-06-14
- Practice location
- Saint Louis, MO
- Last NPPES update
- 2023-10-05
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2026
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2020
- MO · Physician · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.