DR. JAY JOSEPH FITZGERALD (NPI# 1447220603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447220603 |
| Entity Type | Individual |
| Full Name | DR. JAY JOSEPH FITZGERALD |
| Credential | D.C. |
| Practice Address |
109 1st. St. Sw Wagner SD 57380 |
| Mailing Address |
109 1st. St. Sw Po Box 758 Wagner SD 57380 |
| Practice Telephone | 6053845419 |
| Practice Fax Number | 6053845410 |
| Mailing Telephone | 6053845419 |
| Mailing Fax Number | 6053845410 |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
840 | SD | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | 7604080 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508955311 | Jay Patrick Fitzgerald | Dentist | 444 36th Ave Nw, Norman, OK 73072-4703 | 2006-10-11 |
| Street Address |
109 1ST. ST. SW |
| City | WAGNER |
| State | SD |
| Zip Code | 57380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083070593 | Carol Lee Stewart | Nurse Practitioner | 513 3rd Street Sw, Wagner, SD 57380 | 2016-01-13 |
| 1174906705 | Jerika Kirwan | Optometrist | 720 West Hwy 46, Wagner, SD 57380 | 2015-07-01 |
| 1134334766 | Drew Tyler Anderson | Chiropractor | 109 1st St Sw, Wagner, SD 57380 | 2007-05-14 |
| 1326066796 | Wagner Indian Health Service Health Center | Clinic/Center | 111 Washington Ave, Wagner, SD 57380 | 2006-07-17 |
| 1649759499 | The Evangelical Lutheran Good Samaritan Society | Nurse Practitioner | 515 W Highway 46, Wagner, SD 57380 | 2018-08-13 |
| 1972754422 | Timothy Eric Sass | Pharmacist | 111 Washington Ave Nw, Wagner, SD 57380 | 2008-10-02 |
| 1275741878 | Patricia Ann Goulette | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-18 |
| 1073721510 | Barbara Slaba | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-18 |
| 1225246770 | Martha J Geuther | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-18 |
| 1568679447 | Tammy L Laroche | Registered Nurse | 111 Washington Ave Nw, Wagner, SD 57380 | 2007-05-17 |
| Find all providers in zip 57380 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992944961 | Lane Chiropractic & Rehab, LLP | Chiropractor | 416 E. Highway 38, Hartford, SD 57033 | 2009-02-13 |
| 1740409945 | Julie Z Oien | Chiropractor | 600 E Sunnybrook Dr, Sioux Falls, SD 57105-7144 | 2007-04-25 |
| 1811035686 | Wayne R Huber Dc PC | Chiropractor | 101 W 69th Street, Suite 100, Sioux Falls, SD 57108-2440 | 2007-02-02 |
| 1124113220 | Heartland Chiropractic and Sports Rehabilitation Center P.C. | Chiropractor | 1727 S Cleveland Avenue, Sioux Falls, SD 57103 | 2006-10-04 |
| 1760453716 | Jeff Lyle Wolff | Chiropractor | 622 W Grand Xing, Mobridge, SD 57601-2051 | 2006-01-29 |
| 1316927288 | Bruce Edward Johnson | Chiropractor | 4627 W Homefield Dr, Sioux Falls, SD 57106-3511 | 2006-01-18 |
| 1205817004 | Paul Joseph Bunkers | Chiropractor | 229 W 39th St Ste 300, Sioux Falls, SD 57105-5700 | 2005-11-08 |
| 1174713507 | Alternative Back Care Clinic, PC | Chiropractor | 229 W 39th St Ste 300, Sioux Falls, SD 57105-5700 | 2007-08-01 |
| 1861511479 | Chirosport PC | Chiropractor | 128 E Holly Blvd, Brandon, SD 57005-1114 | 2007-03-28 |
| 1548324742 | Camille M. Wood Dc PC | Chiropractor | 1122 Jackson Blvd, Rapid City, SD 57702-4335 | 2006-12-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. JAY JOSEPH FITZGERALD.
| 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.