Maria K Fitzgerald (NPI# 1952400921, PAC ID# 1658370630) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1952400921 |
| PAC ID by PECOS | 1658370630 |
| Professional Enrollment ID | I20131205001197 |
| Full Name | Maria K Fitzgerald |
| Organization Legal Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Address |
164 Waccamaw Med Pk Rd Conway SC 29526-8903 |
| Phone Number | 8433475060 |
| Gender | F |
| Credential | MD |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 9032021175 |
| Number of Group Practice Members | 158 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420020 | TIDELANDS HEALTH |
| Address | Phone | Organization |
|---|---|---|
| 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 | 8433475060 | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Organization Legal Name | SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE |
| Physicians | 173 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Burguieres | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2414 Bull St, Columbia, SC 29201-1906 |
| Urvi Rohitkumar Shah | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 130 Hwy 252, Anderson, SC 29621-5054 |
| Laureen J Noll | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 20 Powderhorn Rd, Simpsonville, SC 29681-3399 |
| Amy N Smalley | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 220 Faison Dr, Columbia, SC 29203-3210 |
| Debra A Bjork | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 301 Palmetto Park Blvd, Lexington, SC 29072-7872 |
| Gretchen Enright | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 1135 Gregg Hwy, Aiken, SC 29801-3807 |
| Adrienne L Pruitt | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2100 Charlie Hall Blvd, Charleston, SC 29414-5832 |
| John M Billinsky Jr. | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2715 Colonial Dr, Columbia, SC 29203-6818 |
| Kristi L West | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 403 Stoney Landing Rd, Moncks Corner, SC 29461-3967 |
| Gregory E Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 2319 St Matthews Rd, Orangeburg, SC 29118-2042 |
| Street Address |
164 WACCAMAW MED PK RD |
| City | CONWAY |
| State | SC |
| Zip | 29526-8903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael K Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Melinda E Edwards | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Nancy Elizabeth Hoevenaar | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Stephanie L Price | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Robert Hotchkiss | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Shadi Duchesne | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Martha G Smith | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Judy G Figueroa | Nurse Practitioner | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Daniel John Balog | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| John A Pybass | Psychiatry | South Carolina Dept of Mental Health Accounting Office | 164 Waccamaw Med Pk Rd, Conway, SC 29526-8903 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kurt Klauburg | Psychiatry | 152 Waccamaw Med Park Dr, Conway, SC 29526 | |
| William M Sisco | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Timothy J Cosgriff | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Janet M Clifford | Physical Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Shasta D Vance | Occupational Therapy | The Weston Group of South Carolina Inc | 872 Singleton Ridge Rd, Conway, SC 29526-1101 |
| Gaylord Lee Kelley Jr. | Chiropractic | 1238 Pine St, Conway, SC 29526-3402 | |
| Charles M Proctor | Ophthalmology | Vaught Eye Associates, Pa | 1404 B Main St, Conway, SC 29526-3567 |
| James Monroe Vaught | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Charlotte L Sloan | Nurse Practitioner | Agape Senior Primary Care Inc | 1400 Main St, Conway, SC 29526-3567 |
| Garett M Wise | Optometry | Vaught Eye Associates, Pa | 1406 Main St, Conway, SC 29526-3567 |
| Find all physicians in zip 29526 | |||
| City | CONWAY |
| Zip Code | 29526 |
| Specialty | PSYCHIATRY |
| City + Specialty | CONWAY + PSYCHIATRY |
Please comment or provide details below to improve the information on Maria K 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.