KEVIN FITZGERALD (NPI# 1205114519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 122300000X | Dentist | D12961 | MN | Dental Providers |
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 |
Street Address |
4801 VETERANS DR |
City | SAINT CLOUD |
State | MN |
Zip Code | 56303-2015 |
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 |
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 Code | 122300000X |
Grouping | Dental Providers |
Classification | Dentist |
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 |
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 |
City | SAINT CLOUD |
Zip Code | 56303 |
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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.