DR. JERRY WILLIAM FITZ (NPI# 1134250228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134250228 |
Entity Type | Individual |
Full Name | DR. JERRY WILLIAM FITZ |
Credential | MD |
Practice Address |
39580 S Lago Del Oro Pkwy Tucson AZ 85739-1091 |
Mailing Address |
1000 E Via Entrada Tucson AZ 85718-4740 |
Practice Telephone | 5206244000 |
Practice Fax Number | 5208253523 |
Mailing Telephone | 5206244000 |
Mailing Fax Number | 5208253523 |
Enumeration Date | 2007-03-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
22954 | AZ | Allopathic & Osteopathic Physicians |
Street Address |
39580 S LAGO DEL ORO PKWY |
City | TUCSON |
State | AZ |
Zip Code | 85739-1091 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902893399 | Bennet E Davis | Anesthesiology | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2005-09-30 |
1255802377 | Mallory Kathryn Aye-englert | Naturopath | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2018-12-16 |
1801377601 | Willard Dean Lynch | Nurse Practitioner | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739 | 2018-08-28 |
1376059139 | Emily Coombs | Naturopath | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2017-12-15 |
1568905073 | Stuart Haiken | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2016-12-01 |
1760883060 | John William Mcclane Iv | Psychiatry & Neurology | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2014-09-06 |
1518299767 | Sierra Tucson, Inc. | Psychiatric Residential Treatment Facility | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2010-02-12 |
1073791562 | Sofia Cerchione Meistrell | Social Worker | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2008-02-06 |
1346456316 | Devi Paolillo | Marriage & Family Therapist | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2007-05-15 |
1023239803 | Dale Gary Carlson | Registered Nurse | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2007-05-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215276811 | Kari Miller | Respite Care | 48415 E Eaglenest Trail, Tucson, AZ 85739 | 2013-02-04 |
1073757670 | Diversified Pharmacy Solutions, LLC | Pharmacy | 63717 E Saddle Brooke Blvd, # 1, Tucson, AZ 85739 | 2009-04-27 |
1134308596 | Desert Palms Physical Therapy- Catalina PC | Physical Therapist | 15631 N Oracle Road, Suite 111, Tucson, AZ 85739 | 2007-11-01 |
1184784589 | Barbara Marie Mautner | Counselor | 37632 S. Mashie Dr., Tucson, AZ 85739 | 2006-12-08 |
1972614089 | W & W Rehab Services,l.l.c. | Physical Therapist | 15969 N. Oracle Rd., 171, Tucson, AZ 85739 | 2006-08-31 |
1750318036 | Daniel E Eggleston | Radiology | 38339 S Granite Crest, Tucson, AZ 85739 | 2006-06-26 |
1699811588 | Joel Moncivaiz | Family Medicine | 63701 E Saddlebrooke Blvd, Ste F, Tucson, AZ 85739 | 2007-01-29 |
1770688988 | Korey Lynn Toensing | Chiropractor | 15601 N Oracle Rd, Catalina, AZ 85739 | 2006-09-13 |
1720044423 | Patrick B Shaffer | Dentist | 16701 N Oracle Rd, Suite 151, Tucson, AZ 85739 | 2006-04-22 |
1114179553 | Robert Gordon Denney | Psychiatry & Neurology | 38425 S Apache Peak Dr, Saddlebrooke, AZ 85739-1056 | 2008-10-16 |
Find all providers in zip 85739 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861592826 | Gail N Shultz | Family Medicine | 4110 W Sweetwater Dr, Tucson, AZ 85745-9348 | 2006-09-22 |
1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
1740256577 | Bernice Roberts | Family Medicine | 170 N Sierra Vista Dr, Tucson, AZ 85719-3841 | 2006-02-23 |
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1588299176 | Arizona Healthy Clinic LLC | Family Medicine | 4344 W Indian School Rd Ste 8, Phoenix, AZ 85031-2939 | 2020-03-04 |
1194368852 | Relieve Medical Detox | Family Medicine | 7281 E Earll Dr Ste A4, Scottsdale, AZ 85251-7213 | 2019-10-24 |
1619430691 | Freedom Medical Care | Family Medicine | 5151 E Broadway Rd Ste 105, Mesa, AZ 85206-1346 | 2019-04-08 |
1851878508 | Rapr LLC | Family Medicine | 10632 N Scottsdale Rd Unit 482, Scottsdale, AZ 85254-6164 | 2018-07-25 |
1811410715 | Jacqueline M Pinlac | Family Medicine | 7830 N 23rd Ave, Phoenix, AZ 85021-6808 | 2017-07-23 |
1003269697 | Perla Quinones | Family Medicine | 36375 N Gantzel Rd Ste 101, San Tan Valley, AZ 85140-7334 | 2016-07-19 |
1245468271 | Kenneth M Levine, D.o. Ltd | Family Medicine | 2121 S Mill Ave, 114, Tempe, AZ 85282-2138 | 2009-06-29 |
1912166620 | Michael Denicole | Family Medicine | 2132 E Northview Ave, Phoenix, AZ 85020-5661 | 2008-06-06 |
1265572358 | David G Greenberg | Family Medicine | 810 W Bethany Home Rd, Phoenix, AZ 85013-1654 | 2007-02-07 |
1235769613 | Akos Primary Care, LLC | Family Medicine | 5104 N 67th Ave, Glendale, AZ 85301-6541 | 2020-01-24 |
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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.