MARTHA DRAKE FITZGERALD (NPI# 1104027671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104027671 |
| Entity Type | Individual |
| Full Name | MARTHA DRAKE FITZGERALD |
| Credential | RN, FNP, |
| Practice Address |
1005 E Main St Medford OR 97504-7448 |
| Mailing Address |
114 N 3rd St Ashland OR 97520-1942 |
| Practice Telephone | 5417748209 |
| Mailing Telephone | 5414821038 |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
087006747N1FNP-P | OR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972744803 | Martha Frances Fitzgerald | Counselor | 20 Nicholas Rd, Hopkinton, MA 01748-2406 | 2009-03-24 |
| 1992280929 | Martha Loretta Fitzgerald | Registered Nurse | 722 High St, Marquette, MI 49855-3720 | 2018-09-25 |
| Street Address |
1005 E MAIN ST |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-7448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710067400 | Joanne Noone | Nurse Practitioner | 1005 E Main St, Building A, Medford, OR 97504-7448 | 2006-10-17 |
| 1144649997 | Torina Lee Mereida-ford | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2014-04-09 |
| 1962825653 | Scedena T Soliz | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2014-01-30 |
| 1518393123 | Taylor Jay Burke | Social Worker | 1005 E Main St, Medford, OR 97504-7448 | 2013-09-16 |
| 1346673498 | Tina Marie Luzzi | Counselor | 1005 E Main St, Medford, OR 97504-7448 | 2013-08-13 |
| 1215369442 | Diana Jean Tonnesen | Counselor | 1005 E Main St, Medford, OR 97504-7448 | 2013-07-30 |
| 1225478449 | Maythe Saturen | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2013-07-02 |
| 1639518889 | Doreen Sue Stone | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2013-06-20 |
| 1891139481 | Chad Evan Burke | Case Manager/Care Coordinator | 1005 E Main St, Medford, OR 97504-7448 | 2013-04-25 |
| 1871862649 | Jackson County Hhs | Case Management | 1005 E Main St, Medford, OR 97504-7448 | 2011-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
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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.