FITZGERALD MARCELIN SR. (NPI# 1285818229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285818229 |
| Entity Type | Individual |
| Full Name | FITZGERALD MARCELIN SR. |
| Credential | MD |
| Practice Address |
702 N Main St Emporia VA 23847-1242 |
| Mailing Address |
Po Box 70 Victoria VA 23974-0070 |
| Practice Telephone | 4346347723 |
| Practice Fax Number | 4346347725 |
| Mailing Telephone | 4346962165 |
| Mailing Fax Number | 4346961557 |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2014-02-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 0101231381 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101231381 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 5861128 | 05 | |
| NC | 89065FC | 05 | |
| VA | 1285818229 | 05 |
| Street Address |
702 N MAIN ST |
| City | EMPORIA |
| State | VA |
| Zip Code | 23847-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205831229 | Homayoon Mohammed Akbari | Surgery | 702 N Main St, Emporia, VA 23847 | 2005-06-16 |
| 1215386222 | Crystal Mae-michelle Baird | Nurse Practitioner | 702 N Main St, Emporia, VA 23847-1242 | 2016-06-09 |
| 1174566558 | Theopolis Gilliam Jr. | Internal Medicine | 702 N Main St, Emporia, VA 23847-1242 | 2006-06-14 |
| 1073561676 | Jane Jones Lilley | Nurse Practitioner | 702 N Main St, Emporia, VA 23847-1242 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831689454 | Laniesha Stephens Dunn | Social Worker | 407 Halifax St Ste 3, Emporia, VA 23847 | 2018-05-18 |
| 1073016382 | Audrey O Brown | Private Vehicle | 2926 Slagles Road, Emporia, VA 23847 | 2018-03-13 |
| 1598280844 | Daisy's Transportation LLC | Driver | 710 N. Main Street, Emporia, VA 23847 | 2017-08-08 |
| 1336486836 | From Start 2 Finish Counseling Services, Inc | Community/Behavioral Health | 425d South Main Street, Emporia, VA 23847 | 2013-01-03 |
| 1316245681 | William Robert Shannonhouse Jr. | Pharmacist | 220 Market Drive, Emporia, VA 23847 | 2011-03-10 |
| 1669791984 | District 19 Community Services Board | Nursing Care | 502 Sadler Dr, Emporia, VA 23847 | 2010-05-26 |
| 1740310143 | Harold J Neal, Jr. Dds, PC | Dentist | 508 Belfield Dr., Emporia, VA 23847 | 2007-03-06 |
| 1376637504 | Charles V Omick | Nurse Anesthetist, Certified Registered | 727 North Main Street, Emporia, VA 23847 | 2006-10-03 |
| 1669496030 | Prince Squire Medical Center PC | Family Medicine | 219 Weaver Avenue, Emporia, VA 23847 | 2006-07-27 |
| 1003838442 | Marcelin Medical Center | Clinic/Center | 137 Baker Sreet, Emporia, VA 23847 | 2006-07-24 |
| Find all providers in zip 23847 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1649297516 | Wynne V Legrow | Internal Medicine | 201 Weaver Ave, Emporia, VA 23847-1248 | 2006-07-16 |
| 1881624468 | James Melvin Geitz | Internal Medicine | 1301 West 12th Ave, Ste 202, Emporia, KS 66801-0970 | 2006-07-03 |
| 1508811241 | Woodrow Timothy Duncan | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-05-23 |
| 1093133019 | Flycatcher Inpatient Services, LLC | Internal Medicine | 727 N Main St, Emporia, VA 23847-1274 | 2014-04-07 |
| 1366675910 | Charisse Nicole Symmonds | Internal Medicine | 1301 W 12th Ave, Emporia, KS 66801-2587 | 2009-08-31 |
| 1730346669 | Alana K, Longwell | Internal Medicine | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2587 | 2008-05-19 |
| 1346270915 | William Brock Kretsinger | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801 | 2006-07-03 |
| 1255361820 | Rachel Anne Duncan | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-07-03 |
| 1417984618 | Scott A Smiley | Internal Medicine | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2587 | 2006-06-26 |
| Find all providers in EMPORIA | ||||
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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.