DR. THOMAS M FITZGERALD (NPI# 1942364328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942364328 |
| Entity Type | Individual |
| Full Name | DR. THOMAS M FITZGERALD |
| Credential | MD |
| Practice Address |
903 Northeast Dr Suite 300 Davidson NC 28036 |
| Mailing Address |
903 Northeast Dr Suite 301 Davidson NC 28036-7416 |
| Practice Telephone | 7048949309 |
| Practice Fax Number | 7048949304 |
| Mailing Telephone | 7048949309 |
| Mailing Fax Number | 7048949304 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2015-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
93-00112 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
93-00112 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDCOST | B3348 | 01 |
| NC | CIGNA | 562277677 | 01 |
| NC | BCBS OF NC | 562277677 | 01 |
| NC | 8932269 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861793366 | Thomas Paul Fitzgerald | Dentist | 7458 Washington Ave, Saint Louis, MO 63130-4048 | 2010-11-15 |
| 1841231834 | Thomas M Fitzgerald | Podiatrist | 1350 Medical Center Drive, Ste B, Rohnert Park, CA 94928 | 2006-06-09 |
| 1336134766 | Thomas J Fitzgerald | Internal Medicine | 501 Nw Elks Dr Ste 100, Corvallis, OR 97330-3757 | 2005-09-12 |
| 1104315290 | Thomas Fitzgerald | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07754 | 2018-05-04 |
| 1366882037 | Thomas Baird Fitzgerald | Obstetrics & Gynecology | 170 Hazard Ave, Enfield, CT 06082-4520 | 2013-06-26 |
| 1326312166 | Thomas Henry Fitzgerald | Pharmacist | 9925 State Ave, Marysville, WA 98270-2253 | 2012-02-24 |
| 1689954307 | Thomas Edward Fitzgerald | Pharmacist | 385 Versailles Rd, Walgreens, Frankfort, KY 40601-3646 | 2011-08-25 |
| 1598829939 | Thomas Patrick Fitzgerald | Surgery | 1700 South Tamiami Trail, Trauma Services Dept, Sarasota Memorial Hospital, Sarasota, FL 34236 | 2006-12-20 |
| 1992876858 | Thomas C Fitzgerald | Optometrist | 3167 S State Road 3, New Castle, IN 47362-1318 | 2006-11-13 |
| 1144391954 | Thomas J. Fitzgerald | Counselor | 95 Exchange St, Suite 100, Portland, ME 04101-5037 | 2006-11-13 |
| Street Address |
903 NORTHEAST DR SUITE 300 |
| City | DAVIDSON |
| State | NC |
| Zip Code | 28036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669424636 | Lisa Ann Firullo | Counselor | 903 Northeast Dr, Suite 301, Davidson, NC 28036-7416 | 2006-05-17 |
| 1841736899 | Kimberly Welliver | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2017-01-16 |
| 1205295409 | Benjamin James Epstein | Physician Assistant | 903 Northeast Dr, Davidson, NC 28036-7416 | 2016-02-16 |
| 1699152025 | Crystal Kelly | Nurse Practitioner | 903 Northeast Dr, Suite 301, Davidson, NC 28036-7416 | 2015-05-06 |
| 1831589258 | Heather Vankoughnett | Counselor | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2015-01-24 |
| 1558617258 | Virgil J Foster | Social Worker | 903 Northeast Dr, Suite 102, Davidson, NC 28036-7416 | 2012-07-31 |
| 1952675902 | Deborah Bryan Parrott | Social Worker | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2012-03-07 |
| 1710275391 | Great Expectations Counseling Services | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2011-07-15 |
| 1962710830 | Linda Cook Cason, Ma Lpc, P.C. | Counselor | 903 Northeast Dr, Suite 101, Davidson, NC 28036-7416 | 2010-09-14 |
| 1346577111 | Carina Wise | Marriage & Family Therapist | 903 Northeast Dr, Suite 201, Davidson, NC 28036-7416 | 2009-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851825285 | Samuel Kelse Hughes | Family Medicine | 104 Knox Ct, Suite 100, Davidson, NC 28036 | 2017-04-12 |
| 1023552098 | Melissa Marie Switek | Counselor | 706 Northeast Dr Ste 1, Davidson, NC 28036 | 2016-12-11 |
| 1386016020 | Morgan Rodgers | Counselor | 901 Northeast Drive, Suite 201, Davidson, NC 28036 | 2015-10-21 |
| 1578931333 | Renee Shull Johnson | Counselor | 709 Northeast Dr Ste 22, Davidson, NC 28036 | 2015-09-10 |
| 1356748651 | Terri Ellerbe-graves | Counselor | 505 Park Avenue, Apt 2, Davidson, NC 28036 | 2014-12-02 |
| 1588085609 | Jay Alexander Caskey | Counselor | 16745 Davidson-concord Road, Davidson, NC 28036 | 2013-12-16 |
| 1932443181 | Jeannine Bodner | Social Worker | 120d S Village Ln, Davidson, NC 28036 | 2012-11-11 |
| 1295083921 | Kelley Cock | Counselor | 209 Delburg Street, Suite 103, Davidson, NC 28036 | 2012-08-28 |
| 1922371319 | Healing Tree Counseling and Wellness, Pllc | Counselor | 911 Northeast Drive, 301, Davidson, NC 28036 | 2012-02-15 |
| 1750678470 | Kimberly Makuch Leppert | Social Worker | 432 S. Main St, Suite 200, Davidson, NC 28036 | 2011-07-01 |
| Find all providers in zip 28036 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134323454 | Terence Charles Feir | Psychiatry & Neurology | 624 Wolfe St., Davidson, NC 28036-5371 | 2007-06-12 |
| 1770181620 | Centia Health LLC | Psychiatry & Neurology | 108 S Main St, Davidson, NC 28036-8096 | 2020-10-13 |
| 1851743892 | Robert Looper | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2016-07-01 |
| 1316391345 | William Wolters Jr. | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2016-04-15 |
| 1033522958 | Lynneice Bowen | Psychiatry & Neurology | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2014-06-09 |
| 1629412184 | Carolinas Medical Center | Psychiatry & Neurology | 16740 Davidson Concord Rd, Ste 200, Davidson, NC 28036-8746 | 2013-04-26 |
| 1891051009 | Virginia Litz | Psychiatry & Neurology | 16740 Davidson Concord Rd, Suite 200, Davidson, NC 28036-8746 | 2012-04-02 |
| 1568758027 | Clemence Nyandjo | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2011-06-23 |
| 1588955520 | Nicole Aho | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2011-04-25 |
| 1477852234 | Tyler Dodds | Psychiatry & Neurology | 16740 Davidson Concord Rd, Davidson, NC 28036-8746 | 2011-03-19 |
| Find all providers in DAVIDSON | ||||
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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.