DR. RYAN HUDSON FITZGERALD


Address: 132 Riverstone Ter Ste 101, Canton, GA 30114
Phone: 6788800036

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
SC PD6265 05

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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

Office Location

Street Address 132 RIVERSTONE TER STE 101
City CANTON
State GA
Zip Code 30114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417953886 Ido Friedman Podiatrist 132 Riverstone Ter Ste 101, Canton, GA 30114-1703 2005-06-21

Providers in the same zip code

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 Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City CANTON
Zip Code 30114

Improve Information

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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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