COLLEEN M. FITZPATRICK (NPI# 1417155383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417155383 |
| Entity Type | Individual |
| Full Name | COLLEEN M. FITZPATRICK |
| Credential | MD |
| Practice Address |
1465 S Grand Blvd Pediatric Surgery Saint Louis MO 63104-1003 |
| Practice Telephone | 3145775629 |
| Practice Fax Number | 3142686454 |
| Mailing Telephone | 3145775629 |
| Mailing Fax Number | 3142686454 |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2016-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
2012023503 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972872489 | Colleen Fitzpatrick | Assistant Behavior Analyst | 1000 W Broadway St, Ste 214, Oviedo, FL 32765-9260 | 2011-12-29 |
| 1073786497 | Colleen Fitzpatrick | Social Worker | 761 River Ave, Lakewood, NJ 08701-5200 | 2008-04-07 |
| 1154522266 | Colleen Mccamant Fitzpatrick | Pediatrics | 5649 Wynnewood Dr, Suite 104, Laurys Station, PA 18059-1138 | 2007-05-29 |
| 1437200060 | Colleen Marie Fitzpatrick | Obstetrics & Gynecology | 120 Sister Pierre Drive, Suite 304, Towson, MD 21204-7526 | 2007-01-12 |
| Street Address |
1465 S GRAND BLVD PEDIATRIC SURGERY |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63104-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528676921 | Gunjanpreet Kaur | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-07-21 |
| 1972128510 | Millicent Rose Palacios | Nurse Practitioner | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-06-09 |
| 1083241863 | Nathaniel Joseph Conner | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1467089177 | Stacy Kollanur Mathews | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1568099299 | Susan Aye Mya Oo | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1861029514 | Gregory Joseph Weissler II | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1154958874 | Brendan Michael Mcenery | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1316574049 | Satvika Mikkilineni | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1972130607 | Katherine Letha Randolph | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| 1346877081 | Samuel Ryan Richey | Student in an Organized Health Care Education/Training Program | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2020-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407469570 | Family Care Health Centers | Clinic/Center | 2717 Sidney Street, St. Louis, MO 63104 | 2020-08-28 |
| 1023638038 | Laura Ann Humphrey | Physician Assistant | Allied Health Building 3437 Caroline Street, Room 3015, Saint Louis, MO 63104 | 2020-04-20 |
| 1174187264 | Ahsan Ali | Student in an Organized Health Care Education/Training Program | 1438 South Grand Blvd, Monteleone Hall, St. Louis, MO 63104 | 2019-04-24 |
| 1205359916 | Brenda Eve Ladin | Behavior Technician | 1221 Allen Market Lane Rear, St. Louis, MO 63104 | 2017-07-25 |
| 1841722063 | Gustavo G Mendez | Student in an Organized Health Care Education/Training Program | 1465 South Grand Bulevard Rm 2717, Ssm Health Cardinal Glennon Children's Hospital, Saint Louis, MO 63104 | 2017-03-28 |
| 1053776716 | Carmella Harper | Respiratory Therapist, Certified | 2678 Park Ave, St Louis, MO 63104 | 2015-12-23 |
| 1922485986 | Alexander Tremont | Internal Medicine | 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104 | 2015-04-29 |
| 1306233341 | Healthcare R Us | Home Health | 2859 Sidney St, St Louis, MO 63104 | 2015-04-16 |
| 1396159091 | Daniela Hermelin | Pathology | 1402 South Grane, St. Louis, MO 63104 | 2014-06-20 |
| 1992117881 | Kelly Denise Durbin | Social Worker | 1920 S 7th St, Saint Louis, MO 63104 | 2014-05-27 |
| Find all providers in zip 63104 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649296948 | Patrick A Dillon | Surgery | 1 Childrens Pl Ste A, Ste A, Saint Louis, MO 63110-1002 | 2006-07-14 |
| 1386130102 | Pattamon Sutthatarn | Surgery | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2018-07-04 |
| 1336588326 | Nicole April Wilson | Surgery | 1 Childrens Pl, Saint Louis, MO 63110 | 2013-06-23 |
| 1740447200 | Gustavo Adolfo Villalona | Surgery | 1465 S Grand Blvd, Saint Louis, MO 63104-1003 | 2008-05-21 |
| 1669662714 | Kathryn Quitasol Bernabe | Surgery | 1 Childrens Pl, Ste A, Saint Louis, MO 63110-1002 | 2007-07-25 |
| 1710185392 | Jesse Daya Vrecenak | Surgery | 1 Childrens Pl Ste A, Ste A, Saint Louis, MO 63110-1002 | 2007-07-05 |
| 1861611493 | Saint Louis University | Surgery | 3660 Vista Ave, Saint Louis, MO 63110-2540 | 2007-04-24 |
| 1366521551 | Thomas V Cradock | Surgery | 621 S New Ballas Rd, Suite 6018b, Saint Louis, MO 63141-8232 | 2006-11-06 |
| 1972682169 | Martin J Bell | Surgery | 621 S New Ballas Rd, Suite 6018b, Saint Louis, MO 63141-8232 | 2006-11-06 |
| 1457430969 | Charles E Coln | Surgery | 621 S New Ballas Rd, Suite 6018b, Saint Louis, MO 63141-8232 | 2006-11-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63104 |
Please comment or provide details below to improve the information on COLLEEN M. FITZPATRICK.
| 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.