PATRICK JOSEPH FITZGERALD (NPI# 1790882728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790882728 |
| Entity Type | Individual |
| Full Name | PATRICK JOSEPH FITZGERALD |
| Credential | M.D. |
| Practice Address |
15525 Pomerado Rd Suite E1 Poway CA 92064-2435 |
| Practice Telephone | 8584857870 |
| Practice Fax Number | 8584856473 |
| Mailing Telephone | 8584857870 |
| Mailing Fax Number | 8584856473 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | G90210 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | 00G802100 | 01 |
| CA | 00G802100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619327830 | Patrick Fitzgerald | Dentist | 1441 Forest Hill Blvd Ste 300, West Palm Beach, FL 33406-6095 | 2016-06-18 |
| 1477895969 | Patrick Fitzgerald | Physical Therapist | 879 Rutledge Ave, Charleston, SC 29403-3436 | 2013-03-22 |
| 1174589253 | Patrick Alfred Fitzgerald | Specialist | 1700 W Hillsdale Blvd, San Mateo, CA 94402-3757 | 2006-04-26 |
| 1326010026 | Patrick T Fitzgerald | Internal Medicine | 21700 Intertech Dr, Brookfield, WI 53045-5197 | 2006-02-06 |
| 1306378674 | Patrick Joseph Fitzgerald | Internal Medicine | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2017-03-28 |
| 1043687395 | Patrick Fitzgerald | Nurse Practitioner | 2508 E Fox Farm Rd, Cheyenne, WY 82007-2559 | 2015-08-21 |
| 1164604898 | Patrick J. Fitzgerald | Dentist | 703 S Decatur St, Watkins Glen, NY 14891-1614 | 2007-12-05 |
| 1255513172 | Patrick Fitzgerald | Marriage & Family Therapist | 22211 Foothill Blvd, Hayward, CA 94541-2712 | 2007-12-03 |
| 1730243213 | Patrick Ian Fitzgerald | Dentist | 350 S Northwest Hwy, Suite 116, Park Ridge, IL 60068-4216 | 2006-12-20 |
| 1487753331 | Patrick Lee Fitzgerald | Internal Medicine | 2701 Nw Vaughn St, Suite 140, Portland, OR 97210-5311 | 2006-09-21 |
| Street Address |
15525 POMERADO RD SUITE E1 |
| City | POWAY |
| State | CA |
| Zip Code | 92064-2435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073519955 | Debra Joan Abel | Audiologist | 15525 Pomerado Rd, E-1, Poway, CA 92064-2435 | 2005-06-24 |
| 1619412806 | Waves, A Psychological Corporation | Psychologist | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2016-12-27 |
| 1083003586 | San Diego Psychological Center Inc. | Psychologist | 15525 Pomerado Rd, Suite B3, Poway, CA 92064-2435 | 2015-01-21 |
| 1871994905 | Tracy Daly | Dietitian, Registered | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2014-09-08 |
| 1144655507 | Blue Skies Behavioral Health | Clinic/Center | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2013-09-04 |
| 1295088334 | San Diego Diagnostic Radiology Medical Group, Inc. | Clinic/Center | 15525 Pomerado Rd, Suite E2, Poway, CA 92064-2435 | 2012-10-25 |
| 1598047086 | Sarah L Jacobs-paul | Counselor | 15525 Pomerado Rd, Suite C-5, Poway, CA 92064-2435 | 2011-09-12 |
| 1568750438 | Amanda Louise Peeler | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-07-13 |
| 1952694408 | Erika Swift Holtermann | Psychologist | 15525 Pomerado Rd, Suite B-1, Poway, CA 92064-2435 | 2011-05-17 |
| 1124310917 | Cpte Physical Therapy Professional Corporation | Physical Therapist | 15525 Pomerado Rd, Ste D4, Poway, CA 92064-2435 | 2011-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194357384 | Prabha Choudhary | Student in an Organized Health Care Education/Training Program | 17555, Corte Lomas Verdes, Poway, CA 92064 | 2020-02-06 |
| 1770143968 | Theresa Marie Morales | In Home Supportive Care | 15352 Running Deer Trl, Poway, CA 92064 | 2019-06-19 |
| 1689230997 | Jaclyn Miller | Audiologist | Health Medical Group, 15525 Pomerado Road Suite C-1, Poway, CA 92064 | 2019-05-13 |
| 1205306842 | Angelita Fuentes | Behavior Technician | 12975 Brookprinter Place Suite 250, Poway, CA 92064 | 2018-11-27 |
| 1396235271 | Michael Cutler, M.d., P.C. | Clinic/Center | 12285 Scripps Poway Pkwy Ste 103, Poway, CA 92064 | 2018-05-16 |
| 1720576671 | Jodi A Mcgrady Dmd, Ms, Adc | Dentist | 12350 Oak Knoll Rd, Poway, CA 92064 | 2018-04-26 |
| 1295237139 | Michelle J. Beaupre | Social Worker | 204 Poway Rd., Poway, CA 92064 | 2018-03-07 |
| 1669918165 | Restore Detox Centers | Substance Abuse Rehabilitation Facility | 14099 Sky Mountain Trail, Poway, CA 92064 | 2017-01-09 |
| 1205382561 | Nightingale Meyou | Pharmacist | 5615 Pomerado Rd, Poway, CA 92064 | 2016-08-28 |
| 1578017232 | Elan Lee | Dentist | 13035 Pomerado Road Suite B, Poway, CA 92064 | 2016-08-11 |
| Find all providers in zip 92064 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194814731 | Ashish K. Wadha Md A Medical Corporation | Otolaryngology | 12630 Monte Vista Road, Suite 206, Poway, CA 92064 | 2006-10-12 |
| 1336382019 | Jennifer Huyen Macewan | Otolaryngology | 12630 Monte Vista Rd, Suite 206, Poway, CA 92064-2530 | 2009-04-11 |
| 1073770376 | George B Sachs | Otolaryngology | 15525 Pomerado Rd, Poway, CA 92064-2435 | 2008-05-22 |
| 1083739692 | George B. Sachs M.d. A Medical Corporation | Otolaryngology | 15525 Pomerado Rd, Suite E1, Poway, CA 92064-2435 | 2007-03-20 |
| 1477650406 | Alison Ann Learn | Otolaryngology | 15525 Pomerado Rd, Suite E1, Poway, CA 92064-2435 | 2006-09-20 |
| 1528165560 | Patrick J. Fitzgerald, M.d., Inc. | Otolaryngology | 15525 Pomerado Rd, Suite E1, Poway, CA 92064-2435 | 2006-09-20 |
| 1477595189 | Ashish Kumar Wadhwa | Otolaryngology | 12630 Monte Vista Rd, Suite 206, Poway, CA 92064-2530 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1922613207 | Resurgent Head and Neck Surgeons, Inc. | Otolaryngology | 6848 Magnolia Ave Ste 220, Riverside, CA 92506-2858 | 2020-09-13 |
| 1427682764 | Angela A Chang Md A Professional Corporation | Otolaryngology | 9834 Genesee Ave Ste 112, La Jolla, CA 92037-1214 | 2020-02-25 |
| 1376176164 | Jaime Munroe | Otolaryngology | 5333 Hollister Ave Ste 155, Santa Barbara, CA 93111-2444 | 2020-02-19 |
| 1003389107 | James Jaber Md A Medical Corporation | Otolaryngology | 850 S Atlantic Blvd Ste 305, Monterey Park, CA 91754-6714 | 2019-01-10 |
| 1033680996 | Ent Medical and Surgical Care | Otolaryngology | 100 Casa St Ste B100, San Luis Obispo, CA 93405-1883 | 2018-12-17 |
| 1477041952 | Ira Harold Buchalter | Otolaryngology | 2029 Tempranillo Ln, Brentwood, CA 94513-5291 | 2018-04-30 |
| 1316435670 | Gregory E. Washington, M.d., A Medical Corporation | Otolaryngology | 3655 Lomita Blvd Ste 321, Torrance, CA 90505-1927 | 2018-04-23 |
| 1447756069 | Anthony Ernest Sanchez | Otolaryngology | 11332 Mountain View, Westerly Building Suite C, Loma Linda, CA 92354 | 2018-04-03 |
| 1710480140 | Jill Mazza, M.d., A Professional Corporation | Otolaryngology | 191 S Buena Vista St Ste 320, Burbank, CA 91505-4556 | 2018-03-12 |
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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.