KELLY M. PITZER (NPI# 1073945267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073945267 |
Entity Type | Individual |
Full Name | KELLY M. PITZER |
Other Name | KELLY M. BRUEGGEN |
Credential | PA |
Practice Address |
3050 Mack Rd Suite 200 Fairfield OH 45014-5379 |
Practice Telephone | 5139248915 |
Practice Fax Number | 5139248929 |
Mailing Telephone | 5139248915 |
Mailing Fax Number | 5139248929 |
Enumeration Date | 2013-07-30 |
Last Update Date | 2016-04-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
OH | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0091479 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134343247 | Kelly Lynne Pitzer | Physical Therapist | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2007-04-12 |
Street Address |
3050 MACK RD SUITE 200 |
City | FAIRFIELD |
State | OH |
Zip Code | 45014-5379 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780688275 | Oncology/ Hematology Care, Inc. | Internal Medicine | 3050 Mack Rd, Suite 300, Fairfield, OH 45014-5379 | 2005-06-13 |
1033676739 | Emily Marie Sillies | Dietitian, Registered | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2019-02-28 |
1154817005 | Haley Schlottmann | Nurse Practitioner | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2018-07-03 |
1992101661 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2014-11-07 |
1922411966 | Kevin Rock | Physical Therapist | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2014-06-07 |
1912341231 | Esineya N Chigaga | Pediatrics | 3050 Mack Rd, Ml 11032, Fairfield, OH 45014-5379 | 2013-04-18 |
1609163260 | Nicholas Brand Pleat | Internal Medicine | 3050 Mack Rd, Fairfield, OH 45014-5379 | 2011-07-05 |
1437444981 | Douglas Benjamin Berg | Surgery | 3050 Mack Rd, Suite 310, Fairfield, OH 45014-5379 | 2011-06-13 |
1932337649 | Heeran Abawi | Family Medicine | 3050 Mack Rd, Ste 205, Fairfield, OH 45014-5379 | 2009-07-01 |
1528230380 | Tri-state Pain Management Service Inc | Pain Medicine | 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379 | 2008-04-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
Find all providers in zip 45014 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659523561 | Lara Beth Kokenos | Physician Assistant | 425 Post Rd Fl 2, Fairfield, CT 06824-6232 | 2008-10-22 |
1780607945 | Jennifer M Nori | Physician Assistant | 93 Nonopoge Rd, Fairfield, CT 06825-7219 | 2006-07-26 |
1962787986 | Sweta G Dalsania | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-10-21 |
1881981348 | Petko Petkov Mitev | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2011-07-06 |
1295978930 | Marjorie Claudine Francis | Physician Assistant | 695 Us Highway 46 Ste 400a, Fairfield, NJ 07004-1568 | 2009-04-10 |
1023281664 | Carlo Opont | Physician Assistant | 695 Us Highway 46, Suite 400a, Fairfield, NJ 07004-1592 | 2008-04-03 |
1336188127 | Matthew Donald Barr | Physician Assistant | 52 Beach Rd, Suite 207, Fairfield, CT 06824-6017 | 2006-06-06 |
1215982624 | Jill Wasserman Gulliford | Physician Assistant | 501 Kings Hwy E, Suite 112, Fairfield, CT 06825-4867 | 2006-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
1811469968 | Cody Tyler Delaney | Physician Assistant | 1711 27th St Ste 306, Portsmouth, OH 45662-2669 | 2018-12-28 |
1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
1225481690 | Rebekah Keesee | Physician Assistant | 1045 Arundel Ave, Westerville, OH 43081-1188 | 2016-07-20 |
1568814382 | Kristen Cipolla | Physician Assistant | 1049 Scarlet Oak Dr Apt D, Hudson, OH 44236-4542 | 2016-07-05 |
1932560083 | Adam Peckinpaugh | Physician Assistant | 2109 Hughes Drive #450, Jobst Vascular Institute, Toledo, OH 43606-5102 | 2016-03-17 |
1710348701 | Alex Blake | Physician Assistant | 10743 S State Route 133, Blanchester, OH 45107-9435 | 2016-03-17 |
1215319926 | Richard Alan Stevenson | Physician Assistant | 187 Vine St, Fairborn, OH 45324-3324 | 2015-06-18 |
1548641038 | Matthew Hamley | Physician Assistant | 2315 Birch Trace Dr, Youngstown, OH 44515-4914 | 2015-06-10 |
1588094148 | Kevin W. Rotondo | Physician Assistant | 1732 Maple St, Wickliffe, OH 44092-2423 | 2013-11-19 |
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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.