VIRGINIA FITZGERALD (NPI# 1487628087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487628087 |
| Entity Type | Individual |
| Full Name | VIRGINIA FITZGERALD |
| Credential | MD |
| Practice Address |
409 W Broadway South Boston MA 02127-2245 |
| Practice Telephone | 6172697500 |
| Practice Fax Number | 6174647512 |
| Mailing Telephone | 6172697500 |
| Mailing Fax Number | 6174647512 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2011-12-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 54611 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NEIGHBORHOOD HEALTH PLAN | 0018245 | 01 |
| MA | TUFTS HEALTH PLAN | 054611 | 01 |
| MD | FIRST SENIORITY | 202216BMC | 01 |
| MA | BMC HEALTHNET | 00000008295 | 01 |
| MA | HARVARD PILGRIM | 202216BMC | 01 |
| MA | CIGNA | B10338103 | 01 |
| MA | BLUE CROSS | J31632 | 01 |
| Street Address |
409 W BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-2245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023081841 | Pamela Cattel | Internal Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-10 |
| 1215411749 | Kelly Anne Maloy | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-20 |
| 1437633401 | Veronica Lynn Hecht | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2018-09-17 |
| 1295221315 | South Boston Community Health Center | Clinic/Center | 409 W Broadway, South Boston, MA 02127-2245 | 2018-07-02 |
| 1427581727 | Jonathan Foster | Dentist | 409 W Broadway, South Boston, MA 02127-2245 | 2017-04-04 |
| 1306377049 | Isabella Buzzo Bellon Brout | Family Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2017-03-24 |
| 1548706187 | Mary Mcpherson | Social Worker | 409 W Broadway, South Boston, MA 02127-2245 | 2017-01-06 |
| 1902269202 | Katrina Jeanette Ciraldo | Family Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2016-04-04 |
| 1518373752 | Elizabeth Temple Corridan | Nurse Practitioner | 409 W Broadway, South Boston, MA 02127-2245 | 2014-07-09 |
| 1861837254 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 409 W Broadway, South Boston, MA 02127-2245 | 2013-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861472524 | Nonna Lyn M Ebalo | Pediatrics | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-01-19 |
| 1457756322 | Dominion Health Medical Assoc | Pediatrics | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2014-11-04 |
| 1356690366 | South Boston Pediatrics, PC | Pediatrics | 2202 Beechmont Rd, South Boston, VA 24592-1614 | 2012-09-05 |
| 1588920284 | Amelia Fisher | Pediatrics | 409 W Broadway, South Boston, MA 02127-2245 | 2012-04-06 |
| 1164721668 | Anne Jennifer Lombardi | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2011-03-23 |
| 1578633301 | Jason Channing Coleman | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-11-09 |
| 1407891815 | Fuller-roberts Clinic, Inc | Pediatrics | 2212 Wilborn Ave, South Boston, VA 24592-1630 | 2006-06-19 |
| 1639147739 | Samantha Y King | Pediatrics | 1627 Seymour Dr, South Boston, VA 24592-3447 | 2006-03-14 |
| 1386612877 | Maria Precious Tangan Torres | Pediatrics | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2006-03-09 |
| 1831163443 | Nisha Thakrar | Pediatrics | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-13 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
Please comment or provide details below to improve the information on VIRGINIA 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.