MICHAEL G FITZGERALD


Address: 5719 Widewaters Pkwy, Syracuse, NY 13214-1985
Phone: 3152513100

MICHAEL G FITZGERALD (NPI# 1942525662) 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) 1942525662
Entity Type Individual
Full Name MICHAEL G FITZGERALD
Credential M.D.
Practice Address 5719 Widewaters Pkwy
Syracuse
NY 13214-1985
Mailing Address 5824 Widewaters Pkwy
East Syracuse
NY 13057-3072
Practice Telephone 3152513100
Mailing Telephone 3152513100
Enumeration Date 2010-04-06
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery 284814 NY Allopathic & Osteopathic Physicians
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
284814 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 04451130 05

Other Providers MICHAEL FITZGERALD

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

Office Location

Street Address 5719 WIDEWATERS PKWY
City SYRACUSE
State NY
Zip Code 13214-1985

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871598805 Michael T Clarke Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214-1880 2005-06-16
1700486065 Heather M. Stamour Nurse Practitioner 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2020-10-27
1962062364 Onondaga Orthopedics LLP Durable Medical Equipment & Medical Supplies 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2019-06-18
1548711583 Laura Yasuko Goodwell-velez Specialist/Technologist 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2016-10-14
1811448855 Laurance Goodwin IIi Specialist/Technologist 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2016-10-14
1326486754 Nicole I. Jones Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2013-06-07
1821330176 Anthony M Orio Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2013-03-25
1790036697 Marvin Balmir Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1985 2012-10-02
1295093763 Cassandra Riggs Orthopaedic Surgery 5719 Widewaters Pkwy, Syracuse, NY 13214 2012-05-02
1275845760 Melissa A Cullinan Physician Assistant 5719 Widewaters Pkwy, Syracuse, NY 13214-1877 2010-07-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881108983 Nathan Fowler Dentist 3469 Erie Blvd E # 3a, Syracuse, NY 13214 2017-11-28
1841716875 Walgreen Co Durable Medical Equipment & Medical Supplies 3649 Erie Blvd E Ste 215b, Syracuse, NY 13214 2017-08-22
1124568993 Jose Alvarez Dentist 3425 Erie Blvd E Ste 1, De Witt, NY 13214 2017-02-27
1205258365 Margaret Miller Social Worker 4101 E. Genesee St, Syracuse, NY 13214 2014-01-09
1124367669 Marni Marie Millet Counselor 4309 E Genesee St Ste 4, Syracuse, NY 13214 2013-02-04
1477817401 Runa Acharya Internal Medicine 3229 East Genesee St, Syracuse, NY 13214 2012-06-25
1487949913 Angela Patricia Mojica Sanabria Pediatrics 3229 East Genesee St Ste 1, Syracuse, NY 13214 2011-06-13
1346530169 Affinity Rehabilitation LLP Clinic/Center 18 Arbor Lane, Dewitt, NY 13214 2011-04-13
1003105768 David William Hansen Pediatrics 3229 E. Genesee St, Suite 1, Syracuse, NY 13214 2011-04-04
1558676411 Jamesville-dewitt Central School District Local Education Agency (LEA) Edinger Drive, Dewitt, NY 13214 2010-08-16
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861485781 Daniel L Carr Orthopaedic Surgery 2200 E Genesee St, Syracuse, NY 13210-2253 2005-08-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1013538909 Michelle Gerwin Carlson, M.d., P.C. Orthopaedic Surgery 523 E 72nd St Rm 4-408, New York, NY 10021-4099 2020-05-01
1285289918 David Cinats Orthopaedic Surgery 6620 Fly Rd Ste 100, East Syracuse, NY 13057-9791 2019-08-08
1184282139 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 788 Harrison Ave, Riverhead, NY 11901-2744 2019-06-04
1215426390 Kristen Alexander Orthopaedic Surgery 525 E 71st St Ofc 2, New York, NY 10021-4839 2018-05-04
1013437078 Ari Mayerfield, M.d.f.a.c.s, Pllc Orthopaedic Surgery 1978 Crompond Rd Ste 102, Cortlandt Manor, NY 10567-4114 2017-06-21
1255787743 Highline Orthopaedics Orthopaedic Surgery 16 Park Place, New York, NY 10007 2016-05-13
1639587504 New York Hand Surgery P.C. Orthopaedic Surgery 330 9th St Apt 1, Brooklyn, NY 11215-4026 2014-07-23
1821387085 Steven Michael Koehler Orthopaedic Surgery 450 Clarkson Ave # Msc30, Brooklyn, NY 11203-2012 2011-03-28
1295969046 Andrew Joseph Leo Orthopaedic Surgery 517 Route 111, 3rd Fl Ste 3b, Hauppauge, NY 11788 2009-05-08
1063615763 Farouq Al-khalidi Orthopaedic Surgery 4500 Vestal Rd, Vestal, NY 13850-3535 2007-06-08
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Competitor

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City SYRACUSE
Zip Code 13214

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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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