DAVID ANDREW FITZGERALD


Address: 809 82nd Pkwy, Myrtle Beach, SC 29572-4607
Phone: 8436924403

DAVID ANDREW FITZGERALD (NPI# 1295362911) 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) 1295362911
Entity Type Individual
Full Name DAVID ANDREW FITZGERALD
Practice Address 809 82nd Pkwy
Myrtle Beach
SC 29572-4607
Practice Telephone 8436924403
Practice Fax Number 8436921122
Mailing Telephone 8436924403
Mailing Fax Number 8436921122
Enumeration Date 2020-03-24
Last Update Date 2020-03-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers DAVID FITZGERALD

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1174627319 David B Fitzgerald Psychiatry & Neurology 100 South Newell Drive, Room L3-100, Gainesville, FL 32610-0236 2006-09-08
1265993497 David Patrick Fitzgerald Student in an Organized Health Care Education/Training Program 4301 W Markham St # 515, Little Rock, AR 72205-7101 2019-03-29
1235644212 David A Fitzgerald Case Manager/Care Coordinator 741 Scholl Rd, Mansfield, OH 44907-1571 2017-12-12
1316334246 David John Fitzgerald Pediatrics 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 2015-04-17
1609034636 David Kyle Fitzgerald Dentist 6220 Peters Creek Rd, Roanoke, VA 24019-4040 2008-05-27
1639381627 David Fitzgerald Internal Medicine 1234 Huffman Mill Rd, Burlington, NC 27215-8700 2007-05-04
1356490361 David Fitzgerald Psychologist 65 Kane St, West Hartford, CT 06119-2110 2007-01-09
1629002308 David A Fitzgerald Psychiatry & Neurology 3000 32nd Ave S, Fargo, ND 58103-6132 2006-07-10
1003852351 David Curtis Fitzgerald Anesthesiology 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 2006-06-22
1144267105 David Lauren Fitzgerald Optometrist 601 Greenville Blvd Se, Greenville, NC 27858-6738 2006-05-31

Office Location

Street Address 809 82ND PKWY
City MYRTLE BEACH
State SC
Zip Code 29572-4607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679577035 Thomas J Martel Emergency Medicine 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2005-06-13
1104455211 Chad Byrd Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-04-02
1831727122 Michael Ladd Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-31
1932737335 Aditya Ragunathan Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-31
1710515242 Elise Erin Steinberger Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-30
1962030866 Mitsy Jannet Moreno Internal Medicine 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-28
1659908648 Emma Kaitlyn Rousakis Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-27
1992333819 Paul Harwood Hargrave Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-27
1134756109 Oyindamola Awe Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-26
1003443292 Benjamin Tyler Mckinney Student in an Organized Health Care Education/Training Program 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 2020-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629684576 Matthew David Zeuschner Nurse Practitioner 107 Woodwind Court, Myrtle Beach, SC 29572 2020-09-16
1578191789 Julia Ruth Nelson Student in an Organized Health Care Education/Training Program Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-04-01
1407484835 Justin Schevers Student in an Organized Health Care Education/Training Program 802 82nd Parkway, Myrtle Beach, SC 29572 2020-03-31
1922636919 Darian Michael Quigg Student in an Organized Health Care Education/Training Program 809 82nd Street Parkway, Myrtle Beach, SC 29572 2020-03-27
1881221141 Jonathan Alden Bryan Student in an Organized Health Care Education/Training Program Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-03-26
1215575238 Polaris Skin Diagnostics, LLC Dermatology 8170 Rourk Street, Suite 100, Myrtle Beach, SC 29572 2019-12-20
1700348711 Five Star Rehabilitation and Wellness Services, LLC. Clinic/Center 9547 N Kings Hwy, Myrtle Beach, SC 29572 2019-04-01
1154882975 Michael Kouandjio Student in an Organized Health Care Education/Training Program Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-26
1154880102 Dylan Chase Morgan Internal Medicine Grand Strand Medical Center - Gme Office, 809 82nd Pkwy, Myrtle Beach, SC 29572 2019-03-19
1710446828 David Redding Kingery Jr. Student in an Organized Health Care Education/Training Program Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-18
Find all providers in zip 29572

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578191789 Julia Ruth Nelson Student in an Organized Health Care Education/Training Program Grand Strand Medical Center- Gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-04-01
1407484835 Justin Schevers Student in an Organized Health Care Education/Training Program 802 82nd Parkway, Myrtle Beach, SC 29572 2020-03-31
1922636919 Darian Michael Quigg Student in an Organized Health Care Education/Training Program 809 82nd Street Parkway, Myrtle Beach, SC 29572 2020-03-27
1881221141 Jonathan Alden Bryan Student in an Organized Health Care Education/Training Program Grand Strand Medical Center, 809 82nd Parkway, Myrtle Beach, SC 29572 2020-03-26
1295362002 Jonathan David Lecrone Student in an Organized Health Care Education/Training Program 809 82nd Pkwy Apt 203, Myrtle Beach, SC 29572-4607 2020-03-24
1154882975 Michael Kouandjio Student in an Organized Health Care Education/Training Program Grand Strand Medical Center-gme Office, 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-26
1871053595 Michael Sirignano Student in an Organized Health Care Education/Training Program 455 Sunnehanna Dr Unit 295, Myrtle Beach, SC 29588-5394 2019-03-20
1427518265 Brian Donovan Doherty Student in an Organized Health Care Education/Training Program Grand Strand Medical Center 809 82nd Parkway, Gme Office, Myrtle Beach, SC 29579 2019-03-20
1710446828 David Redding Kingery Jr. Student in an Organized Health Care Education/Training Program Gme Office 809 82nd Parkway, Myrtle Beach, SC 29572 2019-03-18
1144794280 Haylee Samantha Black Student in an Organized Health Care Education/Training Program 147 Tibton Cir, Myrtle Beach, SC 29588-1266 2019-01-11
Find all providers in MYRTLE BEACH

Competitor

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City MYRTLE BEACH
Zip Code 29572

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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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