KEVIN PATRICK FITZSIMMONS (NPI# 1376762161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376762161 |
| Entity Type | Individual |
| Full Name | KEVIN PATRICK FITZSIMMONS |
| Credential | MHS, PA-C |
| Practice Address |
282 Washington Street Connecticut Children's Medical Center Hartford CT 06106-3322 |
| Mailing Address |
29 Rolling Glen Dr New Milford CT 06776-2243 |
| Practice Telephone | 8602840220 |
| Mailing Telephone | 8603545765 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2011-11-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
23.002648 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538419536 | Kevin J Fitzsimmons | Social Worker | 201 Lomas Santa Fe Dr Ste 490, Solana Beach, CA 92075-1287 | 2012-09-17 |
| Street Address |
282 WASHINGTON STREET CONNECTICUT CHILDREN'S MEDICAL CENTER |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417943564 | Elliot Melendez | Pediatrics | 282 Washington Street, Pediatric Intensive Care Unit, Hartford, CT 06106 | 2005-09-23 |
| 1457812075 | Eugene Michael Master | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Medical Education, 4h, Hartford, CT 06106 | 2019-03-27 |
| 1629500749 | Erin Mcguire Pastor | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ct Children's Medical Center, Hartford, CT 06106 | 2017-03-29 |
| 1700317021 | Jessica Takores | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Medical Education, Hartford, CT 06106 | 2017-03-27 |
| 1356790752 | Mandi L Boisvert | Nurse Practitioner | 282 Washington Street, Hartford, CT 06106 | 2016-06-07 |
| 1326424128 | Amanda Filippelli | Nurse Practitioner | 282 Washington Street, Hartford, CT 06106 | 2015-08-04 |
| 1043607856 | Agnes Reschke | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Medical Education, 4h, Hartford, CT 06106 | 2015-04-20 |
| 1619394152 | Noah Adam Buncher | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Connecticut Children's Medical Center, Hartford, CT 06106 | 2014-03-22 |
| 1770840142 | Jennifer Dorr | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Medical Education, 4h, Hartford, CT 06106 | 2012-04-23 |
| 1881951929 | Laurie Malia | Pediatrics | 282 Washington Street, Medical Education, 4h, Hartford, CT 06106 | 2012-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1134536311 | Allyson E Kubasek | Physician Assistant | 32 Seymour Street, Hartford Hospital Orthopedics Dept, Hartford, CT 06102-5037 | 2014-07-19 |
| 1063037091 | Andrew Jon Mccarthy | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3315 | 2020-06-16 |
| 1417570722 | Leah Pawelczyk | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-05-20 |
| 1164044947 | Marena Josephine Harrison | Physician Assistant | 114 Woodland St, Hartford, CT 06105-1208 | 2020-05-14 |
| 1528688132 | Tess B Repaci | Physician Assistant | 80 Seymour St, Hartford, CT 06106-3300 | 2020-04-23 |
| 1588283584 | Dana Wells Mcpherson | Physician Assistant | 80 Seymour Street, Hartford Hospital Surgery Dept, Hartford, CT 06102-8000 | 2020-04-10 |
| 1407486277 | Ashley Weisse | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2020-01-21 |
| 1053954222 | Nicole Ann Dietzel | Physician Assistant | 282 Washington St, Hartford, CT 06106-3322 | 2019-10-21 |
| 1952951121 | Lindsay Nicole Palma | Physician Assistant | 80 Seymour St, Hartford, CT 06102-8000 | 2019-09-18 |
| Find all providers in HARTFORD | ||||
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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.