MS. LESLIE KAREN FITZGERALD (NPI# 1073819272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073819272 |
| Entity Type | Individual |
| Full Name | MS. LESLIE KAREN FITZGERALD |
| Other Name | MS. LESLIE KAREN STAMMER |
| Credential | P.A. |
| Practice Address |
4560 Se International Way Ste 100 Milwaukie OR 97222-4628 |
| Mailing Address |
4560 Se International Way Ste 100 Milwaukie OR 97222-4628 |
| Practice Telephone | 9712065179 |
| Mailing Telephone | 9712065179 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2020-08-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA153486 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699251611 | Leslie Jean Fitzgerald | Behavior Technician | 2421 Washburn Way Ste K, Klamath Falls, OR 97603-4531 | 2018-07-12 |
| 1396188975 | Leslie M Fitzgerald | Internal Medicine | 1225 E Weisgarber Rd Ste 200, Knoxville, TN 37909 | 2013-04-12 |
| Street Address |
4560 SE INTERNATIONAL WAY STE 100 |
| City | MILWAUKIE |
| State | OR |
| Zip Code | 97222-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611818 | Adams & Gray, Inc | Home Health | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2005-07-07 |
| 1992306013 | Mario Ramos | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-11-04 |
| 1659978302 | Andrea Maria Atencio | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-10-06 |
| 1457968950 | Arthur Thomas Taimanglo Jr. | Speech-Language Pathologist | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-09-29 |
| 1134736879 | Khushbu Chheda | Physical Therapist | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-09-27 |
| 1770194789 | Brandi Robertson | Physical Therapist | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-08-12 |
| 1861017600 | Aliah Alsarraf | Speech-Language Pathologist | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-06-08 |
| 1205450756 | Maria Kristine Jimenez | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-06-01 |
| 1386268985 | Kimberly Marie Wolford | Occupational Therapy Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-05-31 |
| 1740801398 | Allison Sanchez | Speech-Language Pathologist | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2020-05-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731397 | Madalyn Kelly Yowell | Technician | 7809 Southeast Southgate Street, Milwaukee, OR 97222 | 2019-10-16 |
| 1336617448 | Nadia Yang | Social Worker | 2115 Se Adams St, Milwaukie, OR 97222 | 2018-11-06 |
| 1851892368 | Arrow Dental LLC | Dentist | 10505 Se 17th Avenue, Milwaukie, OR 97222 | 2018-02-21 |
| 1851814016 | Cathy Maria Andrew | Acupuncturist | 11022 Se Stanley Ave, Milwaukie, OR 97222 | 2017-07-19 |
| 1972025369 | Sarah Elizabeth Giles | Peer Specialist | 11097 Se 21st Ave., Milwaukie, OR 97222 | 2017-07-07 |
| 1366976292 | Brittany Reubendale | Physical Therapist | 12705 See River Rd, Portland, OR 97222 | 2017-04-18 |
| 1669916383 | Margie Hertz | Registered Nurse | 6406 Se Cedarcrest Drive, Milwaukie, OR 97222 | 2016-12-14 |
| 1952858094 | Alexis Escobar | Speech-Language Pathologist | 4560 Se International Way, Ste 100, Milwaukie, OR 97222 | 2016-09-07 |
| 1205295466 | Beth Ann Mills | Acupuncturist | 2025 Se Jefferson St Ste 106, Milwaukie, OR 97222 | 2016-02-16 |
| 1558744086 | Kyle Eugene Coan | Specialist | 3306 Se Wister St, Milwaukie, OR 97222 | 2015-07-01 |
| Find all providers in zip 97222 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376818856 | Hannah P Frazee | Physician Assistant | 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267-1416 | 2012-03-15 |
| 1306316138 | Jeff Hunter | Physician Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2018-12-05 |
| 1710427810 | Marquis Clinical Services LLC | Physician Assistant | 4560 Se International Way, Suite 100, Milwaukie, OR 97222 | 2017-03-08 |
| 1932584125 | Hannah Kinghorn | Physician Assistant | 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267-1416 | 2015-07-29 |
| 1083003529 | Sean Simons | Physician Assistant | 10330 Se 32nd Ave Ste 205, Milwaukie, OR 97222-6594 | 2015-01-21 |
| 1194073387 | Kevin Andrew Brooks | Physician Assistant | 14617 Se Mcloughlin Blvd, Milwaukie, OR 97267 | 2012-08-21 |
| 1992070874 | Kristen Schmiedeskamp | Physician Assistant | 10330 Se 32nd Ave, Suite 205, Milwaukie, OR 97222-6587 | 2012-03-12 |
| 1710251723 | Kristan Stone | Physician Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2012-03-08 |
| 1467722629 | Ineke J Glavor | Physician Assistant | 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267-4960 | 2012-01-05 |
| 1720315070 | Mimi Maria Hughes | Physician Assistant | 4560 Se International Way Ste 100, Milwaukie, OR 97222-4628 | 2009-11-06 |
| Find all providers in MILWAUKIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.