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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 04451130 | 05 |
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 |
Street Address |
5719 WIDEWATERS PKWY |
City | SYRACUSE |
State | NY |
Zip Code | 13214-1985 |
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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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 |
Find all providers in zip 13214 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
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. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861485781 | Daniel L Carr | Orthopaedic Surgery | 2200 E Genesee St, Syracuse, NY 13210-2253 | 2005-08-25 |
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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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.