MICHAEL FITZGERALD (NPI# 1689077877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689077877 |
| Entity Type | Individual |
| Full Name | MICHAEL FITZGERALD |
| Credential | MD |
| Practice Address |
5435 Feltl Rd Minnetonka MN 55343 |
| Mailing Address |
5435 Feltl Rd Minnetonka MN 55343-7983 |
| Practice Telephone | (952) 835-9880 |
| Practice Fax Number | 9528571554 |
| Mailing Telephone | 9528359880 |
| Mailing Fax Number | 9528571554 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 61629 | MN | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2661 County Highway I, Chippewa Falls, WI 547295407 | 7157231811 | |
| 900 W Clairemont Ave, Eau Claire, WI 547016122 | 7157174121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497251946 | Michael Fitzgerald | Student in an Organized Health Care Education/Training Program | 2513 John R St, Detroit, MI 48201-3158 | 2018-04-03 |
| 1487982195 | Michael Fitzgerald | Counselor | The Brien Center 1 Fenn St, Administrative Offices, Pittsfield, MA 01201 | 2009-11-19 |
| 1336393578 | Michael William Fitzgerald | Psychiatry & Neurology | 474 W Vermont Ave Suite 100, Escondido, CA 92025 | 2008-11-14 |
| 1295985414 | Michael Joseph Fitzgerald | Psychologist | 1038 Meadowood Lane, Jefferson, WI 53549-1910 | 2008-09-24 |
| 1891989877 | Michael James Fitzgerald | Physical Therapy Assistant | 22 Carlson Ln, Gardner, MA 01440-4225 | 2007-08-31 |
| 1831308212 | Michael J Fitzgerald | Dentist | 110 W Main Street, Barrington, IL 60010 | 2007-05-22 |
| 1871665760 | Michael W Fitzgerald | Chiropractor | 342 Union Blvd, Totowa, NJ 07512-2554 | 2006-11-15 |
| 1386742971 | Michael Paul Fitzgerald | Physician Assistant | 135 East 38 Th, Erie, PA 16504 | 2006-09-20 |
| 1083634109 | Michael A Fitzgerald | Internal Medicine | 4870 Broad Rd, Suite 3q, Syracuse, NY 13215-2206 | 2006-07-20 |
| 1205894045 | Michael Timothy Fitzgerald | Physical Therapist | 16819 Torrence Ave, Lansing, IL 60438-6019 | 2006-05-02 |
| Street Address |
5435 FELTL RD |
| City | MINNETONKA |
| State | MN |
| Zip Code | 55343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346231164 | Gregory G Berglund | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2005-11-01 |
| 1275043168 | Rosemary Bailey | Nurse Practitioner | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-10-04 |
| 1649780974 | Greta Sowles | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-09-29 |
| 1003337601 | Amy Luell | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-07-05 |
| 1801332499 | Catherine Huber | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2017-01-06 |
| 1932657665 | Jason Rasmussen | Nurse Practitioner | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2016-09-11 |
| 1205383452 | Janna Marie Bjoin | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2016-09-06 |
| 1801248968 | Maren Elizabeth Stjernholm | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2016-07-12 |
| 1881060416 | Peggy Elaine Heppner | Nurse Practitioner | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2015-08-18 |
| 1386033967 | Hoshmand Las | Physician Assistant | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2015-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689230542 | Madison C Korus | Behavior Technician | 5501 Feltl Road, Minnetonka, MN 55343 | 2019-05-16 |
| 1942708508 | Teammd Physicians of Texas Inc | Case Manager/Care Coordinator | 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 | 2018-01-30 |
| 1659899284 | Midwest Medical Transit | Transportation Broker | 1001 Main Street #125, Hopkins, MN 55343 | 2017-09-04 |
| 1376070367 | Noor Translation and Interpretation Services LLC | Interpreter | 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 | 2017-05-22 |
| 1871043240 | Katherine Rae Skarphol | Speech-Language Pathologist | 5501 Feltl Rd, Hopkins, MN 55343 | 2016-10-10 |
| 1215481478 | Safi Care Transportation | Non-emergency Medical Transport (VAN) | 1001 Mainstreet, Ste 125, Hopkins, MN 55343 | 2016-08-05 |
| 1649723420 | Stephanie Stackhouse | Internal Medicine | 5520 Bristol Lane, Minnetonka, MN 55343 | 2016-07-28 |
| 1023479706 | Counter Point Recovery | Substance Abuse Rehabilitation Facility | 5022 Baker Rd, Minnetonka, MN 55343 | 2016-03-09 |
| 1851766356 | Enrique Mendoza Rojas | Nurse Practitioner | 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 | 2015-12-09 |
| 1013307230 | Susanna Monroe | Nurse Practitioner | Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 | 2015-01-26 |
| Find all providers in zip 55343 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679868319 | Paul Anthony Tschetter | Emergency Medicine | 5435 Feltl Road, Minnetonka, MN 55343-7983 | 2011-06-10 |
| 1760649826 | John E Houghland | Emergency Medicine | 5345 Feltl Road, Minnetonka, MN 55343-7983 | 2008-05-16 |
| 1073615902 | Arthur James Puff | Emergency Medicine | 15008 Crown Dr, Minnetonka, MN 55345-3605 | 2006-09-01 |
| 1215953732 | John Odom | Emergency Medicine | 10500 Wayzata Blvd, Minnetonka, MN 55305-1511 | 2006-07-15 |
| 1346231164 | Gregory G Berglund | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2005-11-01 |
| 1922413129 | Kylie Sara Dixson | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-25 |
| 1548675267 | Mark Bergstrand | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-23 |
| 1144634841 | Maria N. Bergstrand | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-20 |
| 1881008829 | Nathaniel G Harris | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-18 |
| 1487068938 | Adam Jason Shapin | Emergency Medicine | 5435 Feltl Rd, Minnetonka, MN 55343-7983 | 2014-06-12 |
| Find all providers in MINNETONKA | ||||
| City | MINNETONKA |
| Zip Code | 55343 |
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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.