DR. RYAN HUDSON FITZGERALD (NPI# 1760649602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760649602 |
| Entity Type | Individual |
| Full Name | DR. RYAN HUDSON FITZGERALD |
| Credential | DPM |
| Practice Address |
132 Riverstone Ter Ste 101 Canton GA 30114 |
| Mailing Address |
900 Circle 75 Pkwy Se Ste 900 Atlanta GA 30339-3084 |
| Practice Telephone | 6788800036 |
| Practice Fax Number | 4044814427 |
| Mailing Telephone | 6784262171 |
| Mailing Fax Number | 4044461957 |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001364 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
626 | SC | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
0103301013 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | PD6265 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063062859 | Ryan Fitzgerald | Dentist | 4409 Green View Cir, Norman, OK 73072-3141 | 2019-09-13 |
| 1447630173 | Ryan Fitzgerald | Counselor | 110 Fearing Hill Rd, West Wareham, MA 02576-1436 | 2015-06-08 |
| 1205360476 | Ryan Fitzgerald | Emergency Medicine | 6431 Fannin St, Suite Jjl 431, Houston, TX 77030-1501 | 2017-04-14 |
| 1730541855 | Ryan Michael Fitzgerald | Student in an Organized Health Care Education/Training Program | 1 Akron General Ave, Akron, OH 44307-2432 | 2016-03-28 |
| 1346689411 | Ryan Fitzgerald | Family Medicine | 16615 S Route 59, Plainfield, IL 60586-2921 | 2013-06-21 |
| 1063702314 | Ryan Everett Fitzgerald | Orthopaedic Surgery | 3030 Childrens Way, San Diego, CA 92123-4232 | 2011-04-07 |
| 1104949874 | Ryan Fitzgerald | Radiology | 9601 Baptist Health Dr Ste 1100, Little Rock, AR 72205-6333 | 2007-04-09 |
| Street Address |
132 RIVERSTONE TER STE 101 |
| City | CANTON |
| State | GA |
| Zip Code | 30114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953886 | Ido Friedman | Podiatrist | 132 Riverstone Ter Ste 101, Canton, GA 30114-1703 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1083008221 | Donald A Leright Dpm Pllc | Podiatrist | 46036 Michigan Ave, Suite 286, Canton, MI 48188-2304 | 2015-03-25 |
| 1023458304 | Evan Michael Lewis | Podiatrist | 147 Reinhardt College Pkwy Ste 10, Canton, GA 30114-5295 | 2013-07-01 |
| 1881858959 | Connecticut Foot Specialists PC | Podiatrist | 259 Albany Turnpike, Suite C, Canton, CT 06019 | 2008-07-17 |
| 1457562175 | Janay L Harper Dpm Pllc | Podiatrist | 156 River Oaks Dr Ste B, Canton, MS 39046-5376 | 2007-05-24 |
| 1790868826 | Hon W Fong Dpm Pllc | Podiatrist | 2050 N Haggerty Rd Ste 120, Canton, MI 48187-3796 | 2006-10-23 |
| 1871675009 | George Madson Kemper Jr. | Podiatrist | 5454 Fulton Dr Nw, Canton, OH 44718-1727 | 2006-10-19 |
| 1215027420 | Robert I Lubin | Podiatrist | 8552 N Canton Center Rd, Canton, MI 48187-1310 | 2006-10-16 |
| 1750477493 | Thomas Richard Nystrom | Podiatrist | 80 East Main St, Canton, NY 13617 | 2006-10-04 |
| 1982795365 | Canton Podaitry Associates | Podiatrist | 742 Washington St, Canton, MA 02021-3039 | 2006-09-28 |
| Find all providers in CANTON | ||||
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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.