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Dr. Leonard Simon Fagan, M.D.

Obstetrics & Gynecology Physician in Kenosha, WI · enumerated 2005 · practices at Midwest Center for Womens Health S.C..

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104812171

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Registry record

Entity type Individual (Type 1)
Name Dr. Leonard Simon Fagan
Credential M.D.
Sex Male
Practice address 10222 74th Street, Suite 200, Kenosha, WI, 53142
Phone (262) 697-9200
Fax (262) 697-9206
Enumeration date Sep 23, 2005
Last updated in NPPES Oct 3, 2022

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 46372-020 (WI) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License 46372 (WI) Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians · License ME157114 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
34485700 Medicaid WI -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Leonard Fagan practice?
The practice location on file with NPPES is in Kenosha, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Leonard Fagan?
The National Provider Identifier (NPI) for Leonard Fagan is 1104812171, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-10-03.