RYAN H. FITZWATER (NPI# 1770524977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770524977 |
| Entity Type | Individual |
| Full Name | RYAN H. FITZWATER |
| Credential | D.O. |
| Practice Address |
1201 Washington St E Suite 105 Charleston WV 25301-1834 |
| Mailing Address |
415 Morris St Suite 304 Charleston WV 25301-1842 |
| Practice Telephone | 3043881965 |
| Practice Fax Number | 3043881969 |
| Mailing Telephone | 3043887782 |
| Mailing Fax Number | 3043887788 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 2253 | WV | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 2253 | WV | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1201 WASHINGTON ST E SUITE 105 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25301-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912204702 | Wvupc-camc Fam Med Surgery Center | Clinic/Center | 1201 Washington St E, Charleston, WV 25301-1834 | 2011-02-15 |
| 1043511801 | Integrated Health Care Providers, Inc. | Clinical Medical Laboratory | 1201 Washington St E, Suite 100, Charleston, WV 25301-1834 | 2010-11-10 |
| 1366694176 | Andrew Michael Jenkins | Nurse Anesthetist, Certified Registered | 1201 Washington St E, Charleston, WV 25301-1834 | 2008-10-13 |
| 1427213636 | John E Campbell | Internal Medicine | 1201 Washington St E, Charleston, WV 25301-1834 | 2008-07-28 |
| 1912187097 | Kelly Victoria Rennie | Surgery | 1201 Washington St E, Suite 208, Charleston, WV 25301-1834 | 2007-11-06 |
| 1639370034 | Integrated Health Care Providers, Inc. | Urology | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2007-05-31 |
| 1568671980 | West Virginia University Medical Corporation Charleston Division | Family Medicine | 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 | 2007-05-22 |
| 1407064132 | West Virginia University Medical Corporation Charleston Division | Clinical Medical Laboratory | 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 | 2007-05-18 |
| 1396964904 | Joshua Mark Lohri | Surgery | 1201 Washington St E, Suite 105, Charleston, WV 25301-1834 | 2007-04-24 |
| 1649397951 | Christopher Miles Terpening | Pharmacist | 1201 Washington St E, Suite 108, Charleston, WV 25301-1834 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087680 | Kerrie Rena Harris | Counselor | 16 Leon Sullivan Way Suite 300, Charleston, WV 25301 | 2020-09-15 |
| 1285123471 | Burgess Dental | Dentist | 405 Capitol Street, The Parlor Suite, Charleston, WV 25301 | 2018-05-03 |
| 1104322320 | Kara Caldwell | Psychologist | 333 Laidley St., 4'th Floor East, Charleston, WV 25301 | 2018-04-05 |
| 1740638022 | Christina Phalen | Pharmacy Technician | 701 Lee Street East, Charleston, WV 25301 | 2016-05-27 |
| 1366867079 | Brooke Powell Garnes | Speech-Language Pathologist | 1313 Quarrier Street, Suite A, Charleston, WV 25301 | 2014-03-04 |
| 1952648404 | Implanted Pump Management, LLC | Home Infusion | 311 Laidley St., Suite 202, Charleston, WV 25301 | 2013-01-03 |
| 1730435108 | Chaitanya Mishra | Internal Medicine | 501 Morris St Ste 357, Charleston, WV 25301 | 2012-08-03 |
| 1033477278 | James Stephen Harman | Neurological Surgery | 415 Morris St Ste 400, Charleston, WV 25301 | 2012-04-25 |
| 1265674329 | Howard and Howard Dental LLC | Dentist | 1321 Virginia St., Charleston, WV 25301 | 2009-04-03 |
| 1881856144 | Steven David Hollosi | Emergency Medicine | 501 Morris St., Charleston, WV 25301 | 2008-06-27 |
| Find all providers in zip 25301 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295393098 | Christopher William Ritchie | Urology | 135 Rutledge Ave Fl 5, Charleston, SC 29425-8903 | 2019-06-05 |
| 1326487588 | Tracy Jon Tipton | Urology | 125 Doughty St Ste 300, Charleston, SC 29403 | 2013-06-21 |
| 1679828750 | Thomas Alexander Kirkland Jr. | Urology | 2 Ladson St, Apt. A, Charleston, SC 29401-2757 | 2012-07-16 |
| 1174846398 | Paul Walter Sanders | Urology | 18 Guerard Rd, Charleston, SC 29407-7549 | 2010-03-02 |
| 1093948283 | Samuel Dwane Thomas | Urology | 2 Wharfside St Apt 5e, Charleston, SC 29401-1653 | 2009-09-03 |
| 1649496571 | Shozo Kurusu | Urology | 1313 Quarrier St, Charleston, WV 25301-6002 | 2007-04-18 |
| 1588722102 | Bashir R. Sankari | Urology | 501 Morris Street, 5 West, Camc Renal Transplant Center, Charleston, WV 25301 | 2006-12-05 |
| 1053497453 | Ross Samuel Oliver Jr. | Urology | 2335 Chesterfield Avenue, Suite 101, Charleston, WV 25304-1066 | 2006-10-27 |
| 1205920261 | James P. Tierney | Urology | 11 Courtney Drive, Charleston, WV 25304 | 2006-10-03 |
| 1861400632 | Integrated Health Care Providers, Inc. | Urology | 1201 Washington St E Ste 105, Charleston, WV 25301-1850 | 2006-08-04 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 25301 |
Please comment or provide details below to improve the information on RYAN H. FITZWATER.
| 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.