DR. MARY AMANDA FITZGERALD (NPI# 1730152000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730152000 |
| Entity Type | Individual |
| Full Name | DR. MARY AMANDA FITZGERALD |
| Other Name | DR. MARY AMANDA JACKSON |
| Credential | M.D. |
| Practice Address |
136 Health Park Drive Mena AR 71953-9072 |
| Mailing Address |
P O Box 1848 Mena AR 71953-1841 |
| Practice Telephone | 4794373449 |
| Practice Fax Number | 4794373449 |
| Mailing Telephone | 4794373449 |
| Mailing Fax Number | 4794373449 |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | E-6099 | AR | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | R4H32 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 183760001 | 05 | |
| MO | 202875852 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326427030 | Mary Fitzgerald | Counselor | 39 S Villa Ave, Villa Park, IL 60181-2650 | 2015-05-27 |
| 1124395306 | Mary Doris Fitzgerald | Counselor | 2130 Lawson Creek Rd, Douglas, AK 99824-5010 | 2011-11-16 |
| 1457537391 | Mary Denise Fitzgerald | Massage Therapist | 245 S Highland St, Suite 6, Mount Dora, FL 32757-5781 | 2008-01-10 |
| 1902000474 | Mary Fitzgerald | Social Worker | 5480 Wisconsin Ave Ste 225, Chevy Chase, MD 20815-3503 | 2007-06-11 |
| 1306963152 | Mary Brito Fitzgerald | Counselor | 316 Metacom Ave, Bristol, RI 02809-5105 | 2007-03-26 |
| 1114001971 | Mary W Fitzgerald | Social Worker | 5540 Tech Center Dr, Springs Counseling Center, #203, Colorado Springs, CO 80919-2331 | 2006-10-25 |
| 1013021757 | Mary Anne Fitzgerald | Nurse Practitioner | 815 N Broadway Ave, Tyler, TX 75702-4507 | 2006-08-19 |
| 1245207083 | Mary P Fitzgerald | Obstetrics & Gynecology | 5500 S 5th Avenue, Bldg 1, Room 320, Hines, IL 60141 | 2006-03-01 |
| 1215908058 | Mary Trabue Fitzgerald | Audiologist | 3704 Sycamore Ln, Nashville, TN 37215-1914 | 2006-01-30 |
| 1386133478 | Mary Fitzgerald | Emergency Medicine | 22101 Moross Rd, Detroit, MI 48236 | 2018-05-04 |
| Street Address |
136 HEALTH PARK DRIVE |
| City | MENA |
| State | AR |
| Zip Code | 71953-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518949429 | Lonnie H Sessler | Family Medicine | 136 Health Park Drive, Mena, AR 71953-9072 | 2005-11-16 |
| 1487744942 | Jeff A. Jones | Physician Assistant | 136 Health Park Drive, Mena, AR 71953-9072 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174166623 | Joshua Daniel Sirkis | Physical Therapist | 500 Crestwood Circle Suite G, Mena, AR 71953 | 2019-10-28 |
| 1841639960 | Village Apothecary, Inc. | Durable Medical Equipment & Medical Supplies | 134 S George, Mt Ida, AR 71953 | 2013-06-21 |
| 1922326586 | Boone Home Healthcare, Inc. | Durable Medical Equipment & Medical Supplies | 803-a Highway 71 North, Mena, AR 71953 | 2010-05-06 |
| 1841529112 | Chad Hill | Hearing Instrument Specialist | 601 W Hwy 71 N, Mena, AR 71953 | 2009-12-16 |
| 1467612085 | Kent Allen Schnetzler | Orthopaedic Surgery | 400 Crestwood Circle, Suite L, Mena, AR 71953 | 2008-06-17 |
| 1710101548 | Family Dentistry | Dentist | 701 C 7th Street, Mena, AR 71953 | 2007-04-12 |
| 1629291455 | Jennifer Rowland | Occupational Therapist | 1801 Hamilton Avenue, Mena, AR 71953 | 2007-04-10 |
| 1093886822 | Alina Mielnick | Urology | 601 Bd Hwy 71 N, Mena, AR 71953 | 2006-11-13 |
| 1821195256 | Robert Martin Cohen | Psychiatry & Neurology | 311 North Morrow Street, Mena, AR 71953 | 2006-09-20 |
| 1730284357 | Sidney H Simpson | Chiropractor | 1402-b Hwy 71 S, Mena, AR 71953 | 2006-09-14 |
| Find all providers in zip 71953 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053525014 | Richard E. Eccles | Internal Medicine | 1103 College Dr, Mena, AR 71953-2519 | 2007-05-09 |
| 1306995527 | David Henderson | Internal Medicine | 531 Polk 77, Mena, AR 71953-7848 | 2007-01-09 |
| 1770990889 | Storm-petrel Inpatient Services LLC | Internal Medicine | 311 Morrow St N, Mena, AR 71953-2516 | 2014-07-21 |
| 1821295148 | Paul Benjamin Buschman | Internal Medicine | 311 North Morrow Street, Mena, AR 71953 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265066955 | Thomas W Atkinson Md Pa | Internal Medicine | 1670 East Joyce Blvd Suite 2, Fayetteville, AR 72703-0030 | 2020-03-03 |
| 1750927109 | Inpatient Solutions | Internal Medicine | 107 Turtle Creek Rd, Benton, AR 72015-6466 | 2019-11-20 |
| 1548722028 | Stephen L Bodemann M.d. Ltd | Internal Medicine | 1636 Higdon Ferry Road, Hot Springs, AR 71913 | 2019-04-03 |
| 1043788045 | Arkansas Wellness Associates LLC | Internal Medicine | 10700 N Rodney Parham Road, Suite C11, Little Rock, AR 72212 | 2018-11-07 |
| 1508345265 | Baptist Health Services | Internal Medicine | 1500 Dodson Ave Ste 180, Fort Smith, AR 72901 | 2018-08-13 |
| 1699252361 | Dan Webb Md Long Term Care | Internal Medicine | 1310 S Avalon St, West Memphis, AR 72301-6271 | 2018-07-25 |
| 1164919684 | Matthew Carpenter | Internal Medicine | Imrp Clinic 300 Carson Street, Jonesboro, AR 72401 | 2018-04-19 |
| 1740797422 | Healthville Pllc | Internal Medicine | 11219 Financial Centre Pkwy Ste 316, Little Rock, AR 72211-3895 | 2018-01-04 |
| 1629595566 | Impact Health Services, Pllc | Internal Medicine | 5027 N County Road 1015, Blytheville, AR 72315-6951 | 2017-08-22 |
| 1891229548 | Arkansas Health Group | Internal Medicine | 3201 Springhill Dr Ste 100a, North Little Rock, AR 72117-2910 | 2017-04-19 |
| 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.