TIMOTHY ALAN FITZGERALD (NPI# 1265759054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265759054 |
| Entity Type | Individual |
| Full Name | TIMOTHY ALAN FITZGERALD |
| Credential | DPM |
| Practice Address |
1101 Cumberland Xing # 262 Valparaiso IN 46383-2356 |
| Practice Telephone | 2192994643 |
| Practice Fax Number | 2192671720 |
| Mailing Telephone | 3057252524 |
| Mailing Fax Number | 3175648399 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 07001158B | IN | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | 07001158A | IN | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201166760 | 05 | |
| IN | RAILROAD MEDICARE | P01563138 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205388501 | Timothy Fitzgerald | Social Worker | 548 Main Ave, Bay Head, NJ 08742-5343 | 2016-11-03 |
| 1760580849 | Timothy Robert Fitzgerald | Dentist | 335 W Jackson Street, Macomb, IL 61455-2112 | 2006-09-20 |
| 1518935972 | Timothy Louis Fitzgerald | Surgery | 887 Congress St Suite 400, Portland, ME 04102-3100 | 2006-03-10 |
| 1811964836 | Timothy Fitzgerald | Family Medicine | 13395 N Marana Main St, Marana, AZ 85653-7008 | 2006-03-08 |
| 1407347230 | Timothy Martin Fitzgerald | Counselor | 1111 Market St, San Francisco, CA 94103-1589 | 2018-05-29 |
| 1972058071 | Timothy David Fitzgerald | Nurse Anesthetist, Certified Registered | 1336 Creekside Blvd Ste 1, Naples, FL 34108-1931 | 2016-08-18 |
| 1811907819 | Timothy Shawn Fitzgerald | Physician Assistant | 1717 Shipyard Blvd, Suite 350, Wilmington, NC 28403-8023 | 2006-08-09 |
| 1225019599 | Timothy Fitzgerald | Anesthesiology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2005-11-14 |
| Street Address |
1101 CUMBERLAND XING # 262 |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2356 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1558713354 | Allegiant Podiatry, Inc. | Podiatrist | 515 Silhavy Rd, Apt # 2, Valparaiso, IN 46383-4452 | 2016-07-06 |
| 1457558009 | Emroc Podiatric, LLC | Podiatrist | 2 Spectacle Dr, Valparaiso, IN 46383-1053 | 2007-06-28 |
| 1922145945 | Ronald Edward Izynski I | Podiatrist | 2501 Valley Dr, Valparaiso, IN 46383-2518 | 2007-01-31 |
| 1639178718 | Frederick J Meccia | Podiatrist | 2002 Hendon Way, Valparaiso, IN 46385-8218 | 2005-07-20 |
| 1922517077 | Nwi Foot and Ankle Clinic | Podiatrist | 2308 Roosevelt Rd, Valparaiso, IN 46383-2773 | 2017-09-20 |
| 1144683301 | Mobile Physicians Group LLC | Podiatrist | 2308 Roosevelt Rd, Valparaiso, IN 46383-2773 | 2016-04-04 |
| 1831511336 | Midwest Mobile Medical Group PC | Podiatrist | 2 Spectacle Dr, Valparaiso, IN 46383-1053 | 2014-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770040081 | Apex Podiatry, Inc. | Podiatrist | 1720 Lafayette Rd Ste 3, Crawfordsville, IN 47933-4604 | 2019-02-22 |
| 1982176913 | A-warnock LLC | Podiatrist | 1103 Central Park Blvd N, Greenwood, IN 46143-7312 | 2019-01-02 |
| 1336658095 | Jenkins Podiatry PC | Podiatrist | 3310 Highway 62 East, Suite 179, Jeffersonville, IN 47130 | 2017-09-26 |
| 1629592191 | Christie Foot & Ankle, LLC | Podiatrist | 3031 Meridian Meadows Rd, Greenwood, IN 46142-1011 | 2017-07-27 |
| 1154842896 | Major Multispecialty Associates | Podiatrist | 30 W Rampart St Ste 180, Shelbyville, IN 46176-8845 | 2017-07-03 |
| 1336677046 | John Paul Bonvillian | Podiatrist | Major Hospital, 2451 Intelliplex Dr, Shelbyville, IN 46176 | 2017-05-24 |
| 1538693536 | Nicholas Nicholas Lalios | Podiatrist | 7800 Madison St, Merrillville, IN 46410-4615 | 2017-04-17 |
| 1275984643 | Jordan Gardner | Podiatrist | 3801 Bellemeade Ave Ste 110, Evansville, IN 47714-0111 | 2016-06-28 |
| 1063894848 | Mobile Podiatry of Indiana | Podiatrist | 4501 Upper Mt Vernon Rd, Evansville, IN 47712 | 2015-06-29 |
| 1194107607 | Mark Wavrunek | Podiatrist | 161 Washington Pointe Dr, Indianapolis, IN 46229-2693 | 2015-06-19 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on TIMOTHY ALAN FITZGERALD.
| 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.