DR. THOMAS J FITZGERALD (NPI# 1336134766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336134766 |
| Entity Type | Individual |
| Full Name | DR. THOMAS J FITZGERALD |
| Credential | MD PH D |
| Practice Address |
501 Nw Elks Dr Ste 100 Corvallis OR 97330-3757 |
| Mailing Address |
Po Box 10744 Clearwater FL 33757-8744 |
| Practice Telephone | 5417684950 |
| Practice Fax Number | 5417684951 |
| Mailing Telephone | 7275320002 |
| Mailing Fax Number | 7272664943 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2017-03-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD181320 | OR | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
ME85034 | FL | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
22612 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | 13519Y | 01 |
| FL | 264474600 | 05 | |
| AL | 109804 | 05 | |
| AL | MEDICARE PTAN | 102I908108 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861793366 | Thomas Paul Fitzgerald | Dentist | 7458 Washington Ave, Saint Louis, MO 63130-4048 | 2010-11-15 |
| 1841231834 | Thomas M Fitzgerald | Podiatrist | 1350 Medical Center Drive, Ste B, Rohnert Park, CA 94928 | 2006-06-09 |
| 1104315290 | Thomas Fitzgerald | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07754 | 2018-05-04 |
| 1366882037 | Thomas Baird Fitzgerald | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2013-06-26 |
| 1326312166 | Thomas Henry Fitzgerald | Pharmacist | 9925 State Ave, Marysville, WA 98270-2253 | 2012-02-24 |
| 1689954307 | Thomas Edward Fitzgerald | Pharmacist | 385 Versailles Rd, Walgreens, Frankfort, KY 40601-3646 | 2011-08-25 |
| 1598829939 | Thomas Patrick Fitzgerald | Surgery | 1700 South Tamiami Trail, Trauma Services Dept, Sarasota Memorial Hospital, Sarasota, FL 34236 | 2006-12-20 |
| 1942364328 | Thomas M Fitzgerald | Psychiatry & Neurology | 903 Northeast Dr, Suite 300, Davidson, NC 28036 | 2006-12-20 |
| 1992876858 | Thomas C Fitzgerald | Optometrist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2006-11-13 |
| 1144391954 | Thomas J. Fitzgerald | Counselor | 95 Exchange St, Suite 100, Portland, ME 04101-5037 | 2006-11-13 |
| Street Address |
501 NW ELKS DR STE 100 |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-3757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003466442 | Melissa Marie Elliott | Pharmacist | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2019-09-18 |
| 1801145867 | Kelley C Crusius | Registered Nurse | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2012-09-06 |
| 1508951864 | Tina Marina Passalaris | Internal Medicine | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2006-10-04 |
| 1710924451 | Herschel D Wallen | Internal Medicine | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2006-06-01 |
| 1861462566 | Keith D. Goldstein | Internal Medicine | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467454025 | Ike Armstrong Onwere | Internal Medicine | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 | 2005-08-12 |
| 1083904304 | Keith Ryan Wells | Internal Medicine | 444 Nw Elks Dr, Corvallis, OR 97330-3745 | 2011-04-08 |
| 1588713754 | Kimberly Anne Mcgregor | Internal Medicine | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 | 2007-01-09 |
| 1841361375 | Dieter H Morich | Internal Medicine | 501 Nw Elks Dr, Suite 100, Corvallis, OR 97330-3757 | 2006-11-13 |
| 1083664338 | Peter D Kenyon | Internal Medicine | 3640 Nw Samaritan Dr, Corvallis, OR 97330-3784 | 2006-05-10 |
| 1912955816 | Stephen Vernia Neville | Internal Medicine | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386022358 | Joseph Sedillo | Internal Medicine | 1879 Williams Hwy, Grants Pass, OR 97527-5864 | 2015-05-11 |
| 1013326362 | Steelhead Specialty Group, PC | Internal Medicine | 2880 Nw Stewart Pkwy Ste 300, Roseburg, OR 97471-1205 | 2014-08-11 |
| 1366860553 | Daniel Guy | Internal Medicine | 4805 Ne Glisan St Ste 11n-1, Portland, OR 97213-2933 | 2014-04-03 |
| 1730422015 | Annie Kwok Hung | Internal Medicine | 24988 Se Stark St Ste 140, Gresham, OR 97030-8326 | 2013-04-04 |
| 1033464318 | William Galen | Internal Medicine | 1221 Sw 10th Ave, 1804, Portland, OR 97205-2426 | 2012-07-23 |
| 1164711305 | Robert Francis Granatir | Internal Medicine | 3863 Saint Andrews Loop S, Salem, OR 97302-9498 | 2011-03-28 |
| 1730348632 | Sasha Elizabeth Stanton | Internal Medicine | 4805 Ne Glisan St # 2n103, Portland, OR 97213-2933 | 2008-06-05 |
| 1952578742 | Yale Sacks | Internal Medicine | 2200 Old Military Rd, Central Point, OR 97502-1022 | 2008-05-12 |
| 1114123601 | Joshua Michael Weese | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471 | 2007-06-22 |
| 1437370947 | Stephen A Williams | Internal Medicine | 2880 Nw Stewart Parkway, Suite 300, Roseburg, OR 97471-1201 | 2007-05-01 |
| Find all providers with the same taxonomy | ||||
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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.