Patrick J Fitzgibbon (NPI# 1902025760, PAC ID# 6406909498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1902025760 |
| PAC ID by PECOS | 6406909498 |
| Professional Enrollment ID | I20090810000293 |
| Full Name | Patrick J Fitzgibbon |
| Organization Legal Name | SAINT MARY'S HEALTH SERVICES |
| Address |
200 Jefferson Ave Se Grand Rapids MI 49503-4502 |
| Phone Number | 6167760682 |
| Gender | M |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4981500436 |
| Number of Group Practice Members | 54 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230059 | MERCY HEALTH SAINT MARY'S |
| Address | Phone | Organization |
|---|---|---|
| 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 | 6167760682 | SAINT MARY'S HEALTH SERVICES |
| Organization Legal Name | SAINT MARY'S HEALTH SERVICES |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne M Talbot | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Heather Marie Montgomery Kanitz | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Joanne L Jepsen | Nurse Practitioner | Saint Mary's Health Services | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Nipaporn Baker | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Barbara A Soper | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Justin M Pyle | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Janet Evelyn Yskes | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Karen L Yaworski | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Leslie Shane Jenkins | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Carol Ann Wilkening | Certified Registered Nurse Anesthetist (crna) | Saint Mary's Health Services | 200 Jefferson Se Ave, Saint Marys Mercy Medical Center, Grand Rapids, MI 49503-4502 |
| Street Address |
200 JEFFERSON AVE SE |
| City | GRAND RAPIDS |
| State | MI |
| Zip | 49503-4502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Dieleman | Nurse Practitioner | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Steven Ritter | Nurse Practitioner | Kent Radiology PC | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Emily E Dietrich | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Jill K Onesti | Surgical Oncology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Alysha Kirkwood | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Joanne L Jepsen | Nurse Practitioner | Saint Mary's Health Services | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Kari R Formsma | Obstetrics/gynecology | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Ashley Screws | Anesthesiology | Anesthesia Associates of Ann Arbor Pllc | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Kimberly G Turke | Hospitalist | Advantage Health/saint Mary's Medical Group | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Aaron D Massie | Diagnostic Radiology | Kent Radiology PC | 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yaw Appiagyei-dankah | Pediatric Medicine | Spectrum Health Primary Care Partners | 230 Michigan Ave Ne, Grand Rapids, MI 49503 |
| Steven G Hamming | Psychologist, Clinical | 85 Campau Nw, Suite 100, Grand Rapids, MI 49503 | |
| Scott Douglas Hadley | Physical Therapy | 1140 Monroe Ave Nw, Suite 5201, Grand Rapids, MI 49503-1070 | |
| Doreen T Berrios | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jaclyn Michelle Abbate | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Karen Georgianna O'strander | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Richard E Myers | Psychiatry | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Patrick J Handlin | Physician Assistant | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Courtney E Kozarian | Clinical Social Worker | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Jillaine A Ruppel | Nurse Practitioner | Hope Network Behavorial Health Services | 385 Leonard Ne, Pivot Case Mgmt, Grand Rapids, MI 49503-1129 |
| Find all physicians in zip 49503 | |||
| City | GRAND RAPIDS |
| Zip Code | 49503 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRAND RAPIDS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Patrick J Fitzgibbon.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.