KATHLEEN FITZGERALD (NPI# 1881614907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881614907 |
| Entity Type | Individual |
| Full Name | KATHLEEN FITZGERALD |
| Credential | MD |
| Practice Address |
120 Dudley St Providence RI 02905-2436 |
| Mailing Address |
Po Box 6300 Providence RI 02940-6300 |
| Practice Telephone | 4014537555 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2008-12-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD5120 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 9002291 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043765415 | Kathleen Fitzgerald | Counselor | 43 New Scotland Ave # E302, Albany, NY 12208-3478 | 2016-08-16 |
| 1386010189 | Kathleen Marie Fitzgerald | Social Worker | 202 Connetquot Rd, Oakdale, NY 11769-2146 | 2015-08-15 |
| 1568841153 | Kathleen B Fitzgerald | Marriage & Family Therapist | 115 Godfrey Rd E, Weston, CT 06883-1403 | 2015-05-28 |
| 1053627240 | Kathleen Anne Fitzgerald | Case Manager/Care Coordinator | 3424 E 2nd St, Long Beach, CA 90803-5235 | 2010-08-25 |
| 1477794865 | Kathleen Louise Fitzgerald | Counselor | 1502 Nc Route 54, Suite 505, Durham, NC 27707-1534 | 2009-03-13 |
| 1871713297 | Kathleen Lynne Fitzgerald | Speech-Language Pathologist | 52 Brigham Street Suite 4, New Bedford, MA 02740 | 2007-04-26 |
| 1770630998 | Kathleen A Fitzgerald | Psychologist | 450 N Bedford Dr Ste 303a, Beverly Hills, CA 90210-4307 | 2007-01-03 |
| 1790791390 | Kathleen M Fitzgerald | Pediatrics | East Milton Pediatric Assoc, 464 Granite Avenue, Milton, MA 02186-5625 | 2006-08-01 |
| 1336145150 | Kathleen Jane Fitzgerald | Registered Nurse | 5729 Rt 13, Deruyter, NY 13052 | 2005-06-27 |
| 1619516481 | Kathleen Liberta Fitzgerald | Recreational Therapist Assistant | 113 Holland Ave, Albany, NY 12208-3410 | 2019-12-27 |
| Street Address |
120 DUDLEY ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02905-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538154703 | Yoash R Enzer | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2005-09-14 |
| 1538693023 | Donna O'neil | Ophthalmology | 120 Dudley St, Suite 104, Providence, RI 02905-2436 | 2017-04-12 |
| 1316114820 | Kathleen Fizgerald, Md | Obstetrics & Gynecology | 120 Dudley St, Suite 305, Providence, RI 02905-2436 | 2008-05-14 |
| 1548442338 | Philip R Rizzuto, Md Ltd | Ophthalmology | 120 Dudley St, Suite 301, Providence, RI 02905-2436 | 2007-12-04 |
| 1023290939 | Michael E. Migliori, Md Facs, Ltd | Ophthalmology | 120 Dudley St, Suite 301, Providence, RI 02905-2436 | 2007-12-03 |
| 1861694069 | Robert H. Janigian Jr. Md LLC | Ophthalmology | 120 Dudley St, Suite 303, Providence, RI 02905-2436 | 2007-06-01 |
| 1770689002 | Chad P. Nevola, Md, Inc. | Pediatrics | 120 Dudley St, Suite 105, Providence, RI 02905-2436 | 2006-09-15 |
| 1033130224 | Mary Ann C Passero | Allergy & Immunology | 120 Dudley St, Suite 203, Providence, RI 02905-2436 | 2006-07-22 |
| 1366428120 | Richard G Bryan | Ophthalmology | 120 Dudley St, Suite 303, Providence, RI 02905-2436 | 2005-12-22 |
| 1689657306 | Prakash Sampath | Neurological Surgery | 120 Dudley St, Providence, RI 02905-2436 | 2005-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477100808 | Raisa Emilia Garcia-diaz | Counselor | 66 Pavilion Avenue, Providence, RI 02905 | 2019-08-21 |
| 1962976571 | Nike A. Kendall | Social Worker | Program In Women's Oncology, 101 Dudley Street, Providence, RI 02905 | 2019-01-16 |
| 1891265443 | Carolyn Te Young | Pathology | 1320 Narragansett Blvd, Cranston, RI 02905 | 2018-11-27 |
| 1417427071 | Julianne Elizabeth Houtchens | Dietitian, Registered | Adult Primary Care 245 Chapman Street, Providence, RI 02905 | 2018-11-27 |
| 1922577394 | Dilenia C Cruz | Health Educator | 335r Prairie Ave., Suite 2b, Providence, RI 02905 | 2018-11-15 |
| 1639653116 | Varina S. Gunn | Health Educator | 335r Prarie Ave., Suite 2b, Providence, RI 02905 | 2018-09-20 |
| 1427590421 | Cardea Healthcare LLC | In Home Supportive Care | 100 Pavilion Avenue, Suite 101, Providence, RI 02905 | 2016-11-08 |
| 1265884597 | Maxwell King | Physical Therapy Assistant | 48 Moorland Avenue, Cranston, RI 02905 | 2016-07-11 |
| 1346698024 | Samantha Lea Colli | Physician Assistant | 100 Dudley St Fl 3, Providence, RI 02905 | 2016-06-02 |
| 1346697448 | Amy Jean Simpson | Marriage & Family Therapist | 1981 Broad Street, Cranston, RI 02905 | 2016-05-18 |
| Find all providers in zip 02905 | ||||
| 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 |
|---|---|---|---|---|
| 1235638354 | Rachel Blay | Obstetrics & Gynecology | 112 Langdon St, Providence, RI 02904-1111 | 2018-02-04 |
| 1831537208 | Courtney Noonan | Obstetrics & Gynecology | 695 Eddy St Ste 21, Providence, RI 02903-4938 | 2013-06-07 |
| 1801161484 | Smgri, PC | Obstetrics & Gynecology | 10 Weybosset St, Providence, RI 02903-2818 | 2012-03-15 |
| 1134415029 | Lindsey Beffa | Obstetrics & Gynecology | 101 Dudley St Fl 4, Providence, RI 02905-2401 | 2011-06-20 |
| 1487846648 | Anh-tai Vinh Dang | Obstetrics & Gynecology | 18 Imperial Pl, Ste 2d, Providence, RI 02903-4641 | 2007-08-13 |
| 1639231673 | Cassandra Leigh Carberry | Obstetrics & Gynecology | 101 Plain St Ste 5, Providence, RI 02903-4829 | 2006-12-15 |
| 1316046063 | Michael Sisitsky | Obstetrics & Gynecology | 101 Dudley St., Women and Infants Hospital-division of Triage, Providence, RI 02905 | 2006-09-21 |
| 1326140120 | Ob-gyn Associates Inc | Obstetrics & Gynecology | 1 Randall Square, Ste 205, Providence, RI 02904 | 2006-09-02 |
| 1649290024 | Mary Catherine Derosa | Obstetrics & Gynecology | 148 West River Street, Suite 8, Providence, RI 02904-2609 | 2006-07-20 |
| 1750311528 | Sarah Fox | Obstetrics & Gynecology | 148 West River Street Suite 8, Providence, RI 02904-2615 | 2006-07-04 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02905 |
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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.