DR. JACQUELINE M FITZGERALD (NPI# 1205862455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205862455 |
| Entity Type | Individual |
| Full Name | DR. JACQUELINE M FITZGERALD |
| Credential | D.O. |
| Practice Address |
11745 Us Highway 23 S Ossineke MI 49766-9582 |
| Practice Telephone | 9894712156 |
| Practice Fax Number | 9894715257 |
| Mailing Telephone | 9894712156 |
| Mailing Fax Number | 9894715257 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-01-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 5101009215 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 2888399 | 05 | |
| MI | 1990638 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588013981 | Jacqueline Marie Fitzgerald | Audiologist-Hearing Aid Fitter | 2295 Henry Tecklenburg Dr, Charleston, SC 29414-7801 | 2016-06-07 |
| 1629030093 | Jacqueline Fitzgerald | Pharmacist | 717 A Ave Ne, Cedar Rapids, IA 52401-1024 | 2006-04-03 |
| Street Address |
11745 US HIGHWAY 23 S |
| City | OSSINEKE |
| State | MI |
| Zip Code | 49766-9582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033102132 | Manuel Chavarri | Internal Medicine | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2005-08-24 |
| 1144526252 | Raj Rao | General Practice | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2011-02-07 |
| 1568795177 | Carrie Ann Standen | Nurse Practitioner | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2009-09-14 |
| 1609099738 | Alcona Citizens for Health, Inc. | Physician Assistant | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2007-04-10 |
| 1255467601 | Midmichigan Medical Center - Alpena | Pharmacy | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2007-02-27 |
| 1871523977 | Bernard J. O'brien | Physician Assistant | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2006-07-04 |
| 1831172600 | Barbara Jean Kacel | Nurse Practitioner | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2005-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841220001 | Susan Y. Beatty-page | Physician Assistant | Po Box 83, Ossineke, MI 49766-0083 | 2006-07-04 |
| 1558700971 | Billy Ray Fields Jr. | Military Health Care Provider | 6501 Us 23 South, Ossineke, MI 49766-9611 | 2013-06-19 |
| 1902251630 | Madeleine Mcconnell | Counselor | 1802 E Nicholson Hill Rd, Ossineke, MI 49766-9701 | 2016-05-02 |
| 1073177408 | Sunrise Animal Sanctuary | Counselor | 4202 Wilds Rd, Ossineke, MI 49766-9752 | 2019-05-01 |
| 1962050690 | Alcona Citizens for Health, Inc. | Social Worker | 12170 Us Highway 23 S Rm 205b, Ossineke, MI 49766-9776 | 2019-08-27 |
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144526252 | Raj Rao | General Practice | 11745 Us Highway 23 S, Ossineke, MI 49766-9582 | 2011-02-07 |
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|---|---|---|---|---|
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| 1356905061 | Comprehensive Care Medical Services | General Practice | 1747 Andover Ln Se, East Grand Rapids, MI 49506-4805 | 2019-04-29 |
| 1336602812 | Mk Certified, LLC | General Practice | 2140 Stone Rd, Ann Arbor, MI 48105-2535 | 2019-04-10 |
| 1215422555 | The Natural Momma Me Initiative | General Practice | 11000 W Mcnichols Rd Ste 212, Detroit, MI 48221-2389 | 2018-06-28 |
| 1881183028 | Silverstone Medical Group, Pllc | General Practice | 805 Oakwood Dr Ste 111, Rochester, MI 48307-1359 | 2018-05-03 |
| 1245739903 | Breanna Lee Brookens | General Practice | 1531 Barnard St, Saginaw, MI 48602-4902 | 2018-02-08 |
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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.