BRENDA FITZGERALD (NPI# 1740203249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740203249 |
| Entity Type | Individual |
| Full Name | BRENDA FITZGERALD |
| Credential | M.D. |
| Practice Address |
523 Dixie St Suite 3 Carrollton GA 30117-3870 |
| Practice Telephone | 7708385828 |
| Mailing Telephone | 7708385828 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | D29480 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114447026 | Brenda Marie Fitzgerald | Massage Therapist | 100 S. Central Expressway, #43, Richardson, TX 75080 | 2017-06-21 |
| 1679029243 | Brenda Fitzgerald | Dental Hygienist | 2057 Pulasky Hwy., Suite 2, North East, MD 21901 | 2016-09-01 |
| 1447275581 | Brenda Elise Fitzgerald | Physical Therapist | 60 Quaker Hwy, Uxbridge, MA 01569-1628 | 2006-07-12 |
| Street Address |
523 DIXIE ST SUITE 3 |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528029386 | Harcourt Brent Mundy | Urology | 523 Dixie St, Suite 3, Carrollton, GA 30117 | 2006-03-31 |
| 1871127399 | Tammy Patterson | Registered Nurse | 523 Dixie St, Carrollton, GA 30117-3870 | 2020-02-24 |
| 1003449273 | Kiera Rhodes | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2020-02-17 |
| 1801428545 | Makenzie Smith | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2020-02-11 |
| 1831721802 | Amanda Robinson | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2020-02-07 |
| 1235779778 | Vanisha Patel | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2020-01-13 |
| 1982241683 | Tenecia Latonya Allen | Case Manager/Care Coordinator | 523 Dixie St, Carrollton, GA 30117-3870 | 2019-12-02 |
| 1275170979 | Samantha Amanda Adams | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2019-12-02 |
| 1467098335 | Anne Joe Ryan | Counselor | 523 Dixie St, Carrollton, GA 30117-3870 | 2019-11-26 |
| 1255977252 | Angela Lester | Social Worker | 523 Dixie St, Carrollton, GA 30117-3870 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932308707 | Shannon Vitale Couvreur | Obstetrics & Gynecology | 150 Henry Burson Ave 215, Carrollton, GA 30117-4466 | 2007-07-12 |
| 1467511709 | Christopher R Jewell | Obstetrics & Gynecology | 156 Clinic Ave, Carrollton, GA 30117-4414 | 2006-12-06 |
| 1538247556 | Joan H. Zeller | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2006-11-01 |
| 1225061070 | David G Helton | Obstetrics & Gynecology | 150 Henry Burson Dr., Suite # 215, Carrollton, GA 30117 | 2006-07-07 |
| 1699706465 | Ronald Kapusta | Obstetrics & Gynecology | 3012 E Hebron Parkway, Ste 104, Carrollton, TX 75010-4428 | 2006-07-06 |
| 1013919810 | Louis Montanaro IIi | Obstetrics & Gynecology | 4300 N Josey Ln, Suite 106, Carrollton, TX 75010-4602 | 2005-08-11 |
| 1386645927 | Julie Ann Thomas | Obstetrics & Gynecology | 4323 N Josey Ln, Suite 306, Carrollton, TX 75010-4633 | 2005-08-04 |
| 1376931113 | Ruth Anne Farrell | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2015-01-01 |
| 1154666980 | Rachenetta V Stimage Md Pa | Obstetrics & Gynecology | 4360 N Josey Ln, Carrollton, TX 75010-4602 | 2012-12-05 |
| 1619289618 | Jennifer Lynn Marshalek | Obstetrics & Gynecology | 109 Professional Pl, Carrollton, GA 30117-3862 | 2010-07-07 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.