RANDY R. FITZGERALD (NPI# 1669549119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669549119 |
| Entity Type | Individual |
| Full Name | RANDY R. FITZGERALD |
| Credential | DDS |
| Practice Address |
4350 E Ray Rd Building 2 Suite 110 Phoenix AZ 85044-4703 |
| Practice Telephone | 4807060777 |
| Practice Fax Number | 4807060825 |
| Mailing Telephone | 4807060777 |
| Mailing Fax Number | 4807060825 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6988 | AZ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528221132 | Randy Lee Fitzgerald | Optometrist | 30 Main St, Suite 120, Burlington, VT 05401-8438 | 2008-07-03 |
| Street Address |
4350 E RAY RD BUILDING 2 SUITE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-4703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609837277 | Ronald K Walker | Dentist | 4350 E Ray Rd, Suite 115, Phoenix, AZ 85044-4703 | 2006-03-31 |
| 1700484920 | Courtney Lynn Mccurdy | Occupational Therapist | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2020-10-09 |
| 1487266508 | James Roberts | Occupational Therapist | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2020-08-19 |
| 1679190391 | Kate Jessen | Physical Therapist | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2020-06-29 |
| 1992351332 | Katie Chung | Physical Therapist | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2019-08-12 |
| 1710425905 | Megan Lenzi | Occupational Therapist | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2017-02-07 |
| 1417494592 | Eca Investments, LLC | Durable Medical Equipment & Medical Supplies | 4350 E Ray Rd, Bldg. 5, Ste. 122, Phoenix, AZ 85044-4703 | 2017-01-26 |
| 1619289055 | Stephanie Sage Withrow | Counselor | 4350 E Ray Rd, Phoenix, AZ 85044-4703 | 2010-07-13 |
| 1548585565 | Margaret Skurdahl | Physician Assistant | 4350 E Ray Rd, Ste 101a, Phoenix, AZ 85044-4703 | 2010-04-01 |
| 1871759043 | Douglas Allen Pulsipher | Dentist | 4350 E Ray Rd, Suite 116, Phoenix, AZ 85044-4703 | 2008-08-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457719114 | Mountain Park Dentistry L.L.C. | Dentist | 15215 S 48th St Ste 175, Phoenix, AZ 85044-9140 | 2016-02-09 |
| 1053602953 | Maryland Avenue Periodontics, LLC | Dentist | 6520 N 7th Ave Ste 5, Phoenix, AZ 85013-1158 | 2011-04-26 |
| 1376799445 | Xavier Mata | Dentist | 8608 S 30th Way, Phoenix, AZ 85042-8249 | 2008-08-08 |
| 1194934430 | Mark S. Passell | Dentist | 7201 N 19th Ave, Ste #1, Phoenix, AZ 85021-7975 | 2007-05-22 |
| 1699980920 | Shahin Madi | Dentist | 21001 N Tatum Blvd Ste 801690, Phoenix, AZ 85050-5233 | 2007-05-11 |
| 1295952265 | Daniel Nathan Indech | Dentist | 4045 E Bell Rd Ste 159, Phoenix, AZ 85032-2240 | 2007-04-19 |
| 1760500169 | Aristidis Pontikas | Dentist | 301 East Bethany Home Road, Suite B-120, Phoenix, AZ 85012 | 2007-03-26 |
| 1285728998 | Gregory T Smith | Dentist | 4212 N. 16th St, Phoenix Indian Medical Center, Phoenix, AZ 85016 | 2006-10-03 |
| 1245348705 | Rex Travis Butler | Dentist | 6601 N Arizona Biltmore Cir, Phoenix, AZ 85016-8907 | 2006-08-26 |
| 1629183397 | Raymond A. Skinner Dds, Ms, Ltd | Dentist | 1277 E. Missouri #102, Phoenix, AZ 85014 | 2006-08-20 |
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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.