DR. DAVID KYLE FITZGERALD (NPI# 1609034636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609034636 |
| Entity Type | Individual |
| Full Name | DR. DAVID KYLE FITZGERALD |
| Credential | DDS |
| Practice Address |
6220 Peters Creek Rd Roanoke VA 24019-4040 |
| Practice Telephone | 5403663999 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0401005439 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174627319 | David B Fitzgerald | Psychiatry & Neurology | 100 South Newell Drive, Room L3-100, Gainesville, FL 32610-0236 | 2006-09-08 |
| 1295362911 | David Andrew Fitzgerald | Student in an Organized Health Care Education/Training Program | 809 82nd Pkwy, Myrtle Beach, SC 29572-4607 | 2020-03-24 |
| 1265993497 | David Patrick Fitzgerald | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 515, Little Rock, AR 72205-7101 | 2019-03-29 |
| 1235644212 | David A Fitzgerald | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2017-12-12 |
| 1316334246 | David John Fitzgerald | Pediatrics | 401 San Mateo Blvd Se, Albuquerque, NM 87108-2921 | 2015-04-17 |
| 1639381627 | David Fitzgerald | Internal Medicine | 1234 Huffman Mill Rd, Burlington, NC 27215-8700 | 2007-05-04 |
| 1356490361 | David Fitzgerald | Psychologist | 65 Kane St, West Hartford, CT 06119-2110 | 2007-01-09 |
| 1629002308 | David A Fitzgerald | Psychiatry & Neurology | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2006-07-10 |
| 1003852351 | David Curtis Fitzgerald | Anesthesiology | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-06-22 |
| 1144267105 | David Lauren Fitzgerald | Optometrist | 601 Greenville Blvd Se, Greenville, NC 27858-6738 | 2006-05-31 |
| Street Address |
6220 PETERS CREEK RD |
| City | ROANOKE |
| State | VA |
| Zip Code | 24019-4040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982824744 | Maston R. Mccorkle Jr. | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2007-04-26 |
| 1316314743 | David L Jones Dds PC | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2015-09-02 |
| 1386046381 | David L Jones | Dentist | 6220 Peters Creek Rd, Roanoke, VA 24019-4040 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951301 | Christina Debra O'neal | Pharmacist | 6460 Grand Retreat Drive Apt 3037, Roanoke, VA 24019 | 2020-01-14 |
| 1235785114 | Amy M. Tharp | Pathology | 6600 Northside High School Rd., Roanoke, VA 24019 | 2019-08-15 |
| 1821586892 | Emtech Laboratories Inc. | Hearing Aid Equipment | 7745 Garland Circle, Roanoke, VA 24019 | 2018-04-25 |
| 1518471176 | Catherine Backus | Music Therapist | 8231 Williamson Rd, Roanoke, VA 24019 | 2017-11-18 |
| 1023475597 | Emily Howel; | Physical Therapy Assistant | 345 Bryant Rd, Roanoke, VA 24019 | 2016-01-28 |
| 1194060541 | St. Vincent's Home, Inc. | Day Training, Developmentally Disabled Services | 312 Whitwell Drive, Roanoke, VA 24019 | 2012-12-11 |
| 1215237946 | Wal-mart Stores East Lp | Technician/Technologist | 5350 Clearbrook Village Lane, Roanoke, VA 24019 | 2010-10-28 |
| 1396063160 | Affiliated Rehab, P.C. | Physical Therapist | 5012 Plantation Rd, Roanoke, VA 24019 | 2010-05-04 |
| 1952562811 | Dominion Youth Services | Community Based Residential Treatment Facility, Mental Illness | 4802 Northridge Lane, Roanoke, VA 24019 | 2008-06-23 |
| 1487732673 | Family Preservation Services, Inc | Community/Behavioral Health | 2002 Dale Ave, Roanoke, VA 24019 | 2006-11-02 |
| Find all providers in zip 24019 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437762531 | Professional Dental Alliance of Tx 43003 Pllc | Dentist | 200 E Highway 114, Roanoke, TX 76262-6907 | 2020-08-28 |
| 1710347562 | Randolph R West Dds Pllc | Dentist | 295 W. Byron Nelson Blvd, Ste 304, Roanoke, TX 76262 | 2016-03-07 |
| 1134526403 | John Walker Robinson | Dentist | 365 Highland Ave Sw, Roanoke, VA 24016-4325 | 2014-12-02 |
| 1629473277 | Harry Patrick Russell II | Dentist | 4736 Starkey Rd, Suite B, Roanoke, VA 24018-8547 | 2014-10-24 |
| 1487067120 | Priyanka Dutt | Dentist | 5002 Airport Rd Nw # 30, Roanoke, VA 24012-1607 | 2014-06-10 |
| 1396065504 | Rhea Theresa Coronel Antolin | Dentist | 105 Country View Dr Ste 300, Roanoke, TX 76262 | 2010-06-10 |
| 1649593831 | Guy Bernard Merritt | Dentist | 2001 Memorial Ave Sw, Roanoke, VA 24015-2031 | 2010-03-02 |
| 1811221302 | Laila Ochana | Dentist | 85002 Airport Rd, Nw Unit #130, Roanoke, VA 24012 | 2009-09-30 |
| 1427295831 | Affinity Smiles Dental, Pllc | Dentist | 1112 N Highway 377 Ste 106, Roanoke, TX 76262-9125 | 2009-01-07 |
| 1447412812 | Randolph Robert West | Dentist | 295 W. Byron Nelson Blvd., Suite 228, Roanoke, TX 76262-3190 | 2008-06-27 |
| Find all providers in ROANOKE | ||||
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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.