MICHAEL FITZ (NPI# 1134735343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134735343 |
| Entity Type | Individual |
| Full Name | MICHAEL FITZ |
| Practice Address |
6205 Westminster Ct Springfield IL 62711-6728 |
| Practice Telephone | 3144948122 |
| Enumeration Date | 2020-09-22 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
209020357 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 209020357 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487985214 | Michael John Fitz | Licensed Practical Nurse | 6 Orient Rd, Sound Beach, NY 11789-2722 | 2010-01-18 |
| Street Address |
6205 WESTMINSTER CT |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711-6728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057220 | Merissa Pryor | Social Worker | 4200 Conestoga Drive, Mbn 120, Springfield, IL 62711 | 2018-06-17 |
| 1255884623 | Dental Professionals of Illinois, P.C. | Dentist | 2740 Prairie Crossing Drive, Springfield, IL 62711 | 2016-08-02 |
| 1841682424 | Americare At Centennial Pointe Assisted Living LLC | Assisted Living Facility | 3440 Hedley Road, Springfield, IL 62711 | 2015-02-19 |
| 1306249248 | Schon Dental, LLC | Dentist | 2809 Mansion Road Suite D, Springfield, IL 62711 | 2014-10-07 |
| 1891105490 | John Weiss | Pharmacist | 4200 Conestoga Drive, Springfield, IL 62711 | 2014-05-05 |
| 1720350689 | Victor Harold Lary | Family Medicine | 3251 Spaulding Orchard Road, Springfield, IL 62711 | 2012-02-07 |
| 1902181795 | Amanda Rose Davis | Pharmacist | 2500 Koke Mill Rd, Springfield, IL 62711 | 2011-10-12 |
| 1316233703 | Karen Zerkle | Dentist | 2809 Mansion Rd, Suite D, Springfield, IL 62711 | 2011-06-23 |
| 1255520557 | Link Chiropractic LLC | Chiropractor | 7012 Kingsmill Ct, Springfield, IL 62711 | 2007-10-23 |
| 1669688230 | Victoria Lynn Driskill | Dentist | 4701 W. Wabash Ave, Springfield, IL 62711 | 2007-05-14 |
| Find all providers in zip 62711 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382580 | Pamela Dawn Raines | Nurse Practitioner | 4311 Autumn Creek Dr, Springfield, OH 45504-5112 | 2020-09-25 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1548812506 | Sasha Lee Ramos | Nurse Practitioner | 125 Liberty St Ste 403, Springfield, MA 01103-1109 | 2019-07-10 |
| 1427530591 | Matthew Smith | Nurse Practitioner | 196 W Sproul Rd Ste 205, Springfield, PA 19064-2045 | 2018-09-05 |
| 1083167100 | Talona Sue Carpenter-schultz | Nurse Practitioner | 322 Mcintyre Ln, Springfield, MI 49037-7685 | 2016-07-25 |
| 1649632068 | Lori Brooks | Nurse Practitioner | 1307 E Monroe St, Springfield, IL 62703-1224 | 2016-03-24 |
| 1740613744 | Sanyu Haffusa Walker | Nurse Practitioner | 3550 Main St. Commonwealth Community Care, Suite 101, Springfield, MA 01107-1078 | 2013-08-13 |
| 1023030145 | Bernice A Ezell | Nurse Practitioner | 380 Plainfeild St, Springfield, MA 01199-0001 | 2006-07-25 |
| 1952948176 | Alireza Jarihi | Nurse Practitioner | 305 Bicentennial Hwy, Springfield, MA 01118-1962 | 2019-12-06 |
| 1538702162 | Adine Edwards | Nurse Practitioner | 100 Medical Center Dr, Springfield, OH 45504-2687 | 2019-10-27 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62711 |
Please comment or provide details below to improve the information on MICHAEL FITZ.
| 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.