NICHOLAS J FITZSIMONS


Address: 10650 Park Rd, Suite # 320, Charlotte, NC 28210-8538
Phone: 7045418207

NICHOLAS J FITZSIMONS (NPI# 1275708125) 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) 1275708125
Entity Type Individual
Full Name NICHOLAS J FITZSIMONS
Credential MD
Practice Address 10650 Park Rd
Suite # 320
Charlotte
NC 28210-8538
Mailing Address Po Box 36488
Charlotte
NC 28236-6488
Practice Telephone 7045418207
Mailing Telephone 7042483400
Mailing Fax Number 7043378387
Enumeration Date 2008-04-22
Last Update Date 2016-06-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 117286 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC N01705 05

Office Location

Street Address 10650 PARK RD
SUITE # 320
City CHARLOTTE
State NC
Zip Code 28210-8538

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881676567 Thomas Henry Buter Orthopaedic Surgery 10650 Park Rd, Ste 120, Charlotte, NC 28210-8538 2005-11-17
1497388144 Caitlin Muse Nurse Practitioner 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2020-02-20
1881242253 Ann Homa Nurse Practitioner 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2019-08-29
1689135436 Megan David Physician Assistant 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2019-03-26
1710453980 Samantha White Physician Assistant 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2018-10-16
1184108037 Jaclyn Baker Nurse Practitioner 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2018-09-17
1023594884 Kathryn Martin Nurse Practitioner 10650 Park Rd, Ste 300, Charlotte, NC 28210-8538 2018-07-16
1063909794 Janet Arrazcaeta Pharmacist 10650 Park Rd, Charlotte, NC 28210-8538 2018-04-18
1174010813 Heather Rose Physician Assistant 10650 Park Rd, Ste 220, Charlotte, NC 28210-8538 2018-04-18
1306348081 Hana Alqariab Nurse Practitioner 10650 Park Rd, Ste 420, Charlotte, NC 28210-8538 2018-03-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952920860 Rx Care 14 LLC Pharmacy 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 2020-04-10
1427697622 David Durant Dinsmore Nurse Anesthetist, Certified Registered Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 2020-01-06
1790256964 Tele Phys Inc Internal Medicine 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 2018-12-16
1104395896 Bridgett Williams Behavior Technician 7806 Andover Woods Drive, Charlotte, NC 28210 2018-11-26
1053880518 Low-t Physicians Professional Association Internal Medicine 10430 Park Road Suite 100a, Charlotte, NC 28210 2018-11-14
1053895102 Carolinas Medical Equipment LLC Durable Medical Equipment & Medical Supplies 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 2018-09-24
1679066658 Afc Urgent Care and Family Care of Wnc, Pllc Clinic/Center 10102 Johnston Rd, Charlotte, NC 28210 2018-06-13
1346777018 Hopeway Foundation Clinic/Center 1717 Sharon Road West, Charlotte, NC 28210 2017-05-12
1891154688 Jessie Lee Ogienko Social Worker 5960 Fairview Rd Ste 328, Charlotte, NC 28210 2016-02-22
1699151985 Carolina Complete Psychiatry, Pllc Physician Assistant 5950 Fairview Road, Suite 708, Charlotte, NC 28210 2015-08-10
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942833678 Joshua Daniel Howell Urology 10650 Park Rd Ste 320, Charlotte, NC 28210-8543 2020-02-21
1427563725 Hifu Prostate Services, LLC Urology 4108 Park Rd Ste 205, Charlotte, NC 28209-2260 2017-12-08
1689618225 Daniel Lee Watson Urology 325 Hawthorne Ln Ste 300, Charlotte, NC 28204-2433 2006-06-15
1972542298 Chris Teigland Urology 1023 Edgehill Rd S, Charlotte, NC 28207-1829 2006-06-05
1306832696 Todd Douglas Cohen Urology 12610 N Community House Rd Ste 100, Charlotte, NC 28277-3892 2005-09-22
1881222669 Charles Ellis Urology 1000 Blythe Blvd, Charlotte, NC 28203-5812 2020-03-29
1902366222 Samuel J Ivan Urology 1000 Blythe Blvd, Charlotte, NC 28203-5812 2019-03-22
1487034146 Daniel Edwards Urology 1021 Morehead Medical Dr, Ste 6100, Charlotte, NC 28204-2990 2015-06-08
1598022089 Maxim Mckibben Urology 1023 Edgehill Rd S, Charlotte, NC 28207-1829 2012-04-20
1295008324 Justin Matulay Urology 101 E W T Harris Blvd, Ste 5500, Charlotte, NC 28262-3485 2012-02-21
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Competitor

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City CHARLOTTE
Zip Code 28210

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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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