MICHAEL A FITZGERALD (NPI# 1083634109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083634109 |
| Entity Type | Individual |
| Full Name | MICHAEL A FITZGERALD |
| Credential | MD |
| Practice Address |
4870 Broad Rd Suite 3q Syracuse NY 13215-2206 |
| Practice Telephone | 3154925292 |
| Practice Fax Number | 3154925123 |
| Mailing Telephone | 3154925292 |
| Mailing Fax Number | 3154925123 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
1189823 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00482260 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497251946 | Michael Fitzgerald | Student in an Organized Health Care Education/Training Program | 2513 John R St, Detroit, MI 48201-3158 | 2018-04-03 |
| 1487982195 | Michael Fitzgerald | Counselor | The Brien Center 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 | 2009-11-19 |
| 1336393578 | Michael William Fitzgerald | Psychiatry & Neurology | 474 W Vermont Ave Suite 100, Escondido, CA 92025 | 2008-11-14 |
| 1295985414 | Michael Joseph Fitzgerald | Psychologist | 1038 Meadowood Lane, Jefferson, WI 53549-1910 | 2008-09-24 |
| 1891989877 | Michael James Fitzgerald | Physical Therapy Assistant | 22 Carlson Ln, Gardner, MA 01440-4225 | 2007-08-31 |
| 1831308212 | Michael J Fitzgerald | Dentist | 110 W Main Street, Barrington, IL 60010 | 2007-05-22 |
| 1871665760 | Michael W Fitzgerald | Chiropractor | 342 Union Blvd, Totowa, NJ 07512-2554 | 2006-11-15 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1205894045 | Michael Timothy Fitzgerald | Physical Therapist | 16819 Torrence Ave, Lansing, IL 60438-6019 | 2006-05-02 |
| 1922073097 | Michael David Fitzgerald | Social Worker | 2501 27th Ave, Suite A-2, Vero Beach, FL 32960-1960 | 2006-02-21 |
| Street Address |
4870 BROAD RD SUITE 3Q |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13215-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821248949 | Jennifer Thakur | Nurse Practitioner | 4870 Broad Rd, Pob North Suite 3q, Syracuse, NY 13215-2206 | 2008-09-25 |
| 1851305437 | David Heisig | Internal Medicine | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| 1972517589 | Barbara M Kane | Nurse Practitioner | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| 1710991328 | Karen Alcott | Nurse Practitioner | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396367785 | Jeffrey Alan Gaulrapp | Registered Nurse | Upstate University Hospital Community General Campus, 4900 Broad Road, Syracuse, NY 13215 | 2020-05-08 |
| 1134752454 | Crystal Elizabeth Hoban | Marriage & Family Therapist | 4922 W. Seneca Turnpike, Syracuse, NY 13215 | 2020-02-14 |
| 1083004907 | Roger G Levine Md | Psychiatric Residential Treatment Facility | 4914 West Seneca Turnpkie, Syracuse, NY 13215 | 2015-01-30 |
| 1558771071 | Edleanna Robinson | Licensed Practical Nurse | 5075 W Seneca Turnpike, Syracuse, NY 13215 | 2014-05-06 |
| 1689013450 | Rhonda Lee Philopena | Emergency Medicine | 4900 Broad Rd 1st Fl, Syracuse, NY 13215 | 2013-06-14 |
| 1962778498 | Marie Anne Stevens | Licensed Practical Nurse | 4057 Seneca Tpk, Van Duyn Home and Hospital, Syracuse, NY 13215 | 2012-03-29 |
| 1033439088 | Anna-marie Simpson | Chiropractor | 4922 W Seneca Tpke, Syracuse, NY 13215 | 2010-06-01 |
| 1992028690 | A John Wylie | Pharmacist | 4840 Sherwood Dr., Syracuse, NY 13215 | 2010-03-09 |
| 1669616512 | Asalim A Thabet | Emergency Medicine | 4900 Braod Rd, 1st Fl, Syracuse, NY 13215 | 2009-04-22 |
| 1992948707 | Jesse Reed Gutnick | Surgery | 4900 Borad Rd, Suite 23 North, Syracuse, NY 13215 | 2009-04-08 |
| Find all providers in zip 13215 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164862223 | Natalya Iorio | Internal Medicine | 739 Irving Ave Ste 400, Syracuse, NY 13210-1655 | 2013-07-03 |
| 1619947843 | Syracuse Gastroenterological Associates, PC | Internal Medicine | 739 Irving Ave., Suite 400, Syracuse, NY 13210 | 2006-01-23 |
| 1841279627 | Nuri Ozden | Internal Medicine | 1000 E. Genesee St., Suite 205, Syracuse, NY 13210 | 2006-01-11 |
| 1396029088 | Arundeep Singh Kahlon | Internal Medicine | 750 E Adams St, Syracuse, NY 13210-2342 | 2011-09-29 |
| 1548542756 | Arman Khorasani-zadeh | Internal Medicine | 750 E Adams St, Syracuse, NY 13210 | 2011-09-13 |
| 1154587731 | Savio John | Internal Medicine | 1000 E Genesee St, Suite 205 & 206, Syracuse, NY 13210-1892 | 2008-08-02 |
| 1619133436 | Jad Z. Bou-abdallah | Internal Medicine | 1000 E Genesee St, Ste 205 & 206, Syracuse, NY 13210-1892 | 2008-07-31 |
| 1629251251 | Adam Michael Berg | Internal Medicine | 739 Irving Ave, Suite 400, Syracuse, NY 13210-1651 | 2007-12-05 |
| 1306957527 | Ernest Loran Sutton | Internal Medicine | 800 Irving Ave, Msc 111 G, Syracuse, NY 13210-2716 | 2006-08-31 |
| 1851305437 | David Heisig | Internal Medicine | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-28 |
| Find all providers in SYRACUSE | ||||
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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.