KEVIN FITZGERALD


Address: 4801 Veterans Dr, Saint Cloud, MN 56303-2015
Phone: 3202556373

KEVIN FITZGERALD (NPI# 1205114519) 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) 1205114519
Entity Type Individual
Full Name KEVIN FITZGERALD
Credential D.D.S.
Practice Address 4801 Veterans Dr
Saint Cloud
MN 56303-2015
Practice Telephone 3202556373
Mailing Telephone 3202556373
Mailing Fax Number 3202556373
Enumeration Date 2011-08-03
Last Update Date 2015-12-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist D12961 MN Dental Providers

Other Providers KEVIN FITZGERALD

NPI Name Taxonomy Address Enumeration
1548565682 Kevin Barry Fitzgerald Physician Assistant 915 Wisconsin Ave, Tieton, WA 98947-9802 2011-01-21
1063745560 Kevin Robert Fitzgerald Chiropractor 14300 Metcalf Ave Ste 103, Overland Park, KS 66223-2906 2009-09-15
1972564789 Kevin G Fitzgerald Physical Therapist 1013 Wexford Plaza Dr, Wexford, PA 15090-9214 2006-03-31
1730179243 Kevin M Fitzgerald Family Medicine 191 Theatre Rd, Onalaska, WI 54650-8679 2005-10-26
1487152633 Kevin Fitzgerald Registered Nurse 610 S Burdick St, Kalamazoo, MI 49007-5221 2018-01-23
1891923744 Kevin Fitzgerald Family Medicine 200 Se Hospital Ave, Stuart, FL 34994-2346 2009-06-30
1942329370 Kevin Patrick Fitzgerald Internal Medicine 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017 2007-03-28
1245263110 Kevin R Fitzgerald Family Medicine 3150 N 12th St, Grand Junction, CO 81506-2863 2006-07-07
1144281080 Kevin Edward Fitzgerald Pain Medicine 4100 Lake Dr Se, Ste 305, Grand Rapids, MI 49546 2006-03-30
1194784454 Kevin P Fitzgerald Obstetrics & Gynecology 3455 Main St, Springfield, MA 01107-1187 2006-03-23

Office Location

Street Address 4801 VETERANS DR
City SAINT CLOUD
State MN
Zip Code 56303-2015

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780675629 Michelle P Pittman-leyendecker Nurse Practitioner 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2005-10-31
1255939773 Samantha Stager Registered Nurse 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-10-16
1447866587 Alyssa L Pumford Dietitian, Registered 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-09-22
1427663905 John David Estep Social Worker 4801 Veterans Dr, B28 Rm 155, Saint Cloud, MN 56303-2099 2020-09-11
1962012823 Kelly A Pittman Social Worker 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-08-05
1356951297 Alyssa Anne Berscheid Registered Nurse 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-08-05
1790395861 Anna Elisabeth Lee Dietitian, Registered 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-08-04
1932718004 Bradee Schiefelbein Audiologist 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-07-24
1346865532 Kali Rae Pichotta Nurse Practitioner 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-06-12
1174145783 Renae Elizabeth Lockerby Social Worker 4801 Veterans Dr, Saint Cloud, MN 56303-2015 2020-05-18
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800463 Daniel P Lahr Radiologic Technologist St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 2020-08-07
1730798398 County of Stearns Case Management 705 Courthouse Square, St Cloud, MN 56303 2020-07-29
1669007126 Aflah Transportation LLC Non-emergency Medical Transport (VAN) 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 2020-03-05
1609420942 Stephanie Lynne Metzger Nurse Practitioner Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 2019-07-25
1306406947 Willow Tree Acupuncture LLC Acupuncturist 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 2019-06-17
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1437644465 Brianna Larissa Justin Speech-Language Pathologist St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 2018-06-22
1780186486 Simplicity Health Pa Family Medicine 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 2018-03-08
1639682925 Dereje Beyene Respiratory Therapist, Certified 1406 15th Street North, Saint Cloud, MN 56303 2017-11-09
1740792761 Lisa Ann Horner Nurse Practitioner 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 2017-10-31
Find all providers in zip 56303

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023678927 Talita Norberto Sizemore Dentist 1519 Jersey Ave, Saint Cloud, FL 34769-4248 2019-06-13
1942868849 Xandria Johnson Dentist 2275 Nolte Rd., Saint Cloud, FL 34772-8763 2019-06-05
1386201093 Victoria Figueroa Dentist 2275 Nolte Rd, Saint Cloud, FL 34772-8763 2019-05-29
1245726785 Andrew Bezek Dentist 1026 4th St Se Ste 200, Saint Cloud, MN 56304-1371 2018-07-09
1104200948 Funsho Afoluke Akinluyi Dentist 4128 2nd St S, Saint Cloud, MN 56301-3704 2015-07-10
1629450234 Yang Hua Dentist 3300 Canoe Creek Rd, Saint Cloud, FL 34772-6511 2015-06-19
1992821706 St. Cloud Technical College Community Dental Clinic Dentist 1540 Northway Dr, Saint Cloud, MN 56303-1240 2007-03-22
1922624279 Jonathan Wirth Dentist 1950 S Narcoossee Rd, Saint Cloud, FL 34771-7204 2020-06-23
1306480686 Christopher Bruce Heringlake Dentist 2305 Minnesota Blvd, Saint Cloud, MN 56304-2424 2019-10-30
1881255677 Crisalida Ulloa Dentist 2301 Old Canoe Creek Rd, Saint Cloud, FL 34772-7706 2019-06-24
Find all providers in SAINT CLOUD

Competitor

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City SAINT CLOUD
Zip Code 56303

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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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