Ryan Hudson Fitzgerald (NPI# 1760649602, PAC ID# 1557414273) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1760649602 |
| PAC ID by PECOS | 1557414273 |
| Professional Enrollment ID | I20180707000003 |
| Full Name | Ryan Hudson Fitzgerald |
| Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
| Address |
132 Riverstone Ter Suite 101 Canton GA 30114-1703 |
| Phone Number | 6788800036 |
| Gender | M |
| Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4587646971 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110008 | NORTHSIDE HOSPITAL CHEROKEE |
| Address | Phone | Organization |
|---|---|---|
| 550 Peachtree Nest, Suite 1960, Atlanta, GA 30308-2225 | 4045891330 | VILLAGE PODIATRY GROUP, LLC. |
| 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 | 6788800036 | VILLAGE PODIATRY GROUP, LLC. |
| Organization Legal Name | VILLAGE PODIATRY GROUP, LLC. |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sahar Mahzoon | Podiatry | Village Podiatry Group, LLC. | 625 Cook St, Royston, GA 30662-3932 |
| Jose Manuel Gonzalez | Podiatry | Village Podiatry Group, LLC. | 1610 Mulkey Rd, Austell, GA 30106-1182 |
| Jason E Morris | Podiatry | Village Podiatry Group, LLC. | 1711 Mount Vernon Rd, Dunwoody, GA 30338-4242 |
| Christopher Russel Corwin | Podiatry | Village Podiatry Group, LLC. | 550 Peachtree Nest, Suite 1960, Atlanta, GA 30308-2225 |
| Sadia Ali | Podiatry | Village Podiatry Group, LLC. | 100 Greystone Power Blvd, Dallas, GA 30157-0908 |
| Andrew D Warner | Podiatry | Village Podiatry Group, LLC. | 3506 Old Milton Pkwy, Alpharetta, GA 30005-4458 |
| Steven A Weiskopf | Podiatry | Village Podiatry Group, LLC. | 1198 Buckhead Xing, D, Woodstock, GA 30189-4293 |
| Patricia W Morris | Podiatry | Village Podiatry Group, LLC. | 3949 Holcomb Bridge Rd, Suite 100, Norcross, GA 30092-2208 |
| Margo A Jimenez | Podiatry | Village Podiatry Group, LLC. | 2295 Parklake Nedr, Suite 150, Atlanta, GA 30345-2825 |
| Allen T Raphael | Podiatry | Village Podiatry Group, LLC. | 3200 Highlands Pkwy Se, Suite 100, Smyrna, GA 30082-5192 |
| Street Address |
132 RIVERSTONE TER SUITE 101 |
| City | CANTON |
| State | GA |
| Zip | 30114-1703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell P Hilsen | Podiatry | Village Podiatry Group, LLC. | 132 Riverstone Ter, Suite 101, Canton, GA 30114-1703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Mccaw | Occupational Therapy | The Weston Group Inc | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 |
| Kevin F Goodgame | Physical Therapy | The Weston Group Inc | 1100 Reinhardt College Pkwy, Canton, GA 30114-2011 |
| Sara B Keeley | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Charlotte A Howell | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Sarah E Britt | Nurse Practitioner | Piedmont Professional Services, LLC | 120 Marietta Hwy, Canton, GA 30114-2303 |
| Elizabeth D Green | Clinical Social Worker | 59 Anderson Ave, Apt 308, Canton, GA 30114-2343 | |
| Dinesh K Bhatia | Nephrology | Dinesh K Bhatia Md PC | 260 B Hospital Rd, Canton, GA 30114-2409 |
| Alexander Kessler | Internal Medicine | 50 Medical Ln, Canton, GA 30114-2417 | |
| David E Field | Family Medicine | 200 Medical Ln, Canton, GA 30114-2421 | |
| Traci L Gables | Anesthesiology Assistant | Northside Anesthesiology Consultants, LLC | 320 Hospital Rd, Suite B, Canton, GA 30114-2432 |
| Find all physicians in zip 30114 | |||
| City | CANTON |
| Zip Code | 30114 |
| Specialty | PODIATRY |
| City + Specialty | CANTON + PODIATRY |
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| 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.