LAURIE JEAN FITZGIBBON


Address: 1330 Mercy Dr Nw, Suite 418, Canton, OH 44708-2626
Phone: 3304891454

LAURIE JEAN FITZGIBBON (NPI# 1902261944) 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) 1902261944
Entity Type Individual
Full Name LAURIE JEAN FITZGIBBON
Credential NP-C, CCNS
Practice Address 1330 Mercy Dr Nw
Suite 418
Canton
OH 44708-2626
Mailing Address Po Box 932100
Cleveland
OH 44193-0008
Practice Telephone 3304891454
Mailing Telephone 2164722730
Mailing Fax Number 2164722740
Enumeration Date 2015-12-17
Last Update Date 2016-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
COA.18318-NP OH Physician Assistants & Advanced Practice Nursing Providers
N 364SA2100X Clinical Nurse Specialist
Specialization: Acute Care
COA.10052-NS OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH 0152995 05

Office Location

Street Address 1330 MERCY DR NW
SUITE 418
City CANTON
State OH
Zip Code 44708-2626

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215930946 Mark Carless Stachel Internal Medicine 1330 Mercy Dr Nw, Ste 318, Canton, OH 44708-2624 2005-05-27
1407305402 Lindsay Anne Haupt Nurse Practitioner 1330 Mercy Dr Nw, Canton, OH 44708-2626 2016-10-02
1235502303 Amanda Michelle Johnson Nurse Practitioner 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 2015-11-11
1245493477 Heather B Lee Physician Assistant 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 2008-07-08
1992980783 Mazin Shackour Surgery 1330 Mercy Dr Nw, Suite 420, Canton, OH 44708-2626 2007-12-31
1649450669 Simonette Carol Jones Internal Medicine 1330 Mercy Dr Nw, Suite 101, Canton, OH 44708-2626 2007-11-07
1649468240 Stark Cardiothoracic Surgery, Inc Thoracic Surgery (Cardiothoracic Vascular Surgery) 1330 Mercy Dr Nw, Suite 410, Canton, OH 44708-2626 2007-10-09
1942414313 Meena Rajan Internal Medicine 1330 Mercy Dr Nw, Canton, OH 44708-2626 2007-05-09
1922135136 Michael Patrick Mccormack Plastic Surgery 1330 Mercy Dr Nw, Suite 522, Canton, OH 44708-2626 2007-02-27
1437201985 Pulmonology Critical Care Physicians Inc. Specialist 1330 Mercy Dr Nw, Canton, OH 44708-2626 2007-01-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669072583 Xl Developmental Services, Inc. Home Health 4403 19th St Nw, Canton, OH 44708 2020-10-29
1942827084 Emily Glor Dentist 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 2020-07-05
1811479009 Linda Adams Counselor 2421 13th Street Nw, Canton, OH 44708 2018-09-04
1104308527 Toreka Lishay Miller Social Worker 2421 13th Nw, Canton, OH 44708 2018-09-01
1679051213 Edward Arthur Hill Family Medicine 6104 Cedar Lane Nw, Canton, OH 44708 2018-08-06
1467939371 Kristen M Reardon Registered Nurse 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 2018-07-24
1538659131 Jeffrey Scott Mechtenberg Chiropractor 3410 Tuscarawas Street W, Canton, OH 44708 2018-05-18
1699284844 Our Caring Hands Home Care, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 3005 W. Tuscuswas St, Canton, OH 44708 2017-09-20
1528580933 Elizabeth Ann Bonchek Licensed Practical Nurse 4550 Hills and Dales Nw Road, Canton, OH 44708 2017-07-07
1518315837 Bio-medical Applications of Ohio, Inc. Clinic/Center 2835 Tuscarawas St. West, Canton, OH 44708 2016-05-26
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487162319 Mary Melvin Smith Nurse Practitioner 107 Cannon Run, Canton, MS 39046-8033 2018-01-12
1851838809 Kristen Bourgon-yee Nurse Practitioner 236 Constitution St, Canton, MI 48188-6719 2017-01-30
1063883981 Destiny Howe Nurse Practitioner 1610 Oakdale Rd, Canton, GA 30114-4512 2015-10-19
1912398827 Andrea Johnson Nurse Practitioner 7440 Claremont St, Canton, MI 48187-1535 2015-02-13
1376973602 Sarita Rao Nurse Practitioner 44270 Duchess Dr, Canton, MI 48187-3242 2013-11-22
1134476088 Carla Valerie Hart-tyner Nurse Practitioner 3801 Whipple Ave Nw Ste 1, Canton, OH 44718-4802 2012-08-09
1902173560 Abbey Baum-beigie Nurse Practitioner 626 34th Street Nw, Canton, OH 44709 2011-11-28
1073807855 Sheri Sullins Buckley Nurse Practitioner 120 Oakside Ct Ste H, Canton, GA 30114 2011-06-08
1942502109 Lynn A Nuti Nurse Practitioner 16 Forge Pond, Unit D, Canton, MA 02021-2995 2010-11-21
1841470010 Wida M Miller Nurse Practitioner 2600 6th St Sw # A2-710, Canton, OH 44710-1702 2007-11-05
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Competitor

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City CANTON
Zip Code 44708

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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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