Holly A Fitzgerald (NPI# 1063956480, PAC ID# 0749561629) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1063956480 |
| PAC ID by PECOS | 0749561629 |
| Professional Enrollment ID | I20170109001210 |
| Full Name | Holly A Fitzgerald |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Address |
625 Clark Ave Bristol CT 06010-4068 |
| Phone Number | 8605837700 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1355246950 |
| Number of Group Practice Members | 345 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070029 | BRISTOL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 625 Clark Ave, Bristol, CT 06010-4068 | 8605837700 | PROHEALTH PHYSICIANS PC |
| Organization Legal Name | PROHEALTH PHYSICIANS PC |
| Physicians | 401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Afsaneh Sharsan | Internal Medicine | Prohealth Physicians PC | 146 Danbury Rd A, New Milford, CT 06776-3427 |
| Stephanie Evette Kilburn | Nurse Practitioner | Prohealth Physicians PC | 631 Quaker S Ln, West Hartford, CT 06110-1026 |
| Jeffrey Goodsell | Family Medicine | Prohealth Physicians PC | 415 Killingworth Rd, Higganum, CT 06441-4370 |
| Isis Sacramento Ferreira | Internal Medicine | Prohealth Physicians PC | 8 D Canal Ct, Avon, CT 06001-3747 |
| Sara Cathleen Reynolds | Nurse Practitioner | Prohealth Physicians PC | 330 Pomfret St, Putnam, CT 06260-1854 |
| Julia Wells | Nurse Practitioner | Prohealth Physicians PC | 52 Peck Rd, Torrington, CT 06790-6107 |
| Lindsey E Quinn | Nurse Practitioner | Prohealth Physicians PC | 116 Washington Ave, Suite 2, North Haven, CT 06473-1721 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Sarah Corrigan | Nurse Practitioner | Prohealth Physicians PC | 4 Farm Springs Rd, Farmington, CT 06032-2573 |
| Carly M Madore | Nurse Practitioner | Prohealth Physicians PC | 10 Wildwood Medical Ctr, Essex, CT 06426-1154 |
| Street Address |
625 CLARK AVE |
| City | BRISTOL |
| State | CT |
| Zip | 06010-4068 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter Boutros Edde | Family Medicine | Fornance Physician Services Inc | 625 Clark Ave, Suite 13, King of Prussia, PA 19406-1438 |
| Weiguo V Li | Family Medicine | Weiguo Li, LLC | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 |
| Tony Wen-wei Ku | Pain Management | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 | |
| Melissa A Fazzolari | Nurse Practitioner | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| William J Brownstein | Pediatric Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Charles J Licata | Internal Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Steven C Lieu | Internal Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Stanley Babu | Family Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Hazel M Bluestein | Family Medicine | Weiguo Li, LLC | 625 Clark Ave, Suite 17a, King of Prussia, PA 19406-1438 |
| Michael Jimenez | Internal Medicine | Prohealth Physicians PC | 625 Clark Ave, Bristol, CT 06010-4068 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy R Himmelstein | Optometry | 440 N Main St, Suite B, Bristol, CT 06010-1902 | |
| Kai H Hammerich | Urology | Bristol Hospital Multi Specialty Group Inc | 8 Collins Rd, Bristol, CT 06010-3874 |
| Margaret T Rush | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Devorah Donnell | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Shelby A Rimetz | Physician Assistant | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Antonio Scappaticci | Internal Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Lea Bailey | Family Medicine | Prohealth Physicians PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Stewart E Bober | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Jeffrey Kaye | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Christopher J Leary | Diagnostic Radiology | Radiologic Associates PC | 25 Collins Rd, Bristol, CT 06010-3893 |
| Find all physicians in zip 06010 | |||
| City | BRISTOL |
| Zip Code | 06010 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRISTOL + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Holly A Fitzgerald.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.