KELLY M. PITZER


Address: 3050 Mack Rd, Suite 200, Fairfield, OH 45014-5379
Phone: 5139248915

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0091479 05

Other Providers KELLY PITZER

NPI Name Taxonomy Address Enumeration
1134343247 Kelly Lynne Pitzer Physical Therapist 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 2007-04-12

Office Location

Street Address 3050 MACK RD
SUITE 200
City FAIRFIELD
State OH
Zip Code 45014-5379

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City FAIRFIELD
Zip Code 45014

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Dataset Information

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.

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