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TIMOTHY SHAWN FITZGERALD PA NPI 1811907819


NPI Information

NPI: 1811907819
Provider Name: TIMOTHY SHAWN FITZGERALD, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: CAROLINA SPORTS MEDICINE ANDORTHOPAEDIC SPECIALISTS PA

PECOS Registration: Yes

Address:
1717 SHIPYARD BLVD
SUITE 350
WILMINGTON, NC
ZIP 28403
Phone: (910) 799-0110
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Timothy Shawn Fitzgerald, PA is a physician assistant in Wilmington, NC with 22 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Timothy Shawn Fitzgerald, PA NPI is 1811907819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1717 SHIPYARD BLVD
SUITE 350
WILMINGTON, NC
ZIP 28403-023
Phone: (910) 799-0110
Fax: (910) 799-1958

The NPI 1811907819 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Repair of knee joint (HCPCS:27447)

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/31/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical112679NORTH CAROLINANo
2363AS0400XPhysician AssistantSurgical112679NORTH CAROLINANo
3363A00000XPhysician Assistant112679NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P76820MEDICARE UPINNORTH CAROLINA
20928879OTHERNORTH CAROLINAUNITED HEALTHCARE
32756774MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
430772OTHERNORTH CAROLINABCBS OF NC
5P00023289OTHERNORTH CAROLINARAILROAD MEDICARE
68930772MEDICAIDNORTH CAROLINA
70197953OTHERNORTH CAROLINACIGNA
8047501023OTHERNORTH CAROLINATRICARE
9561926376OTHERNORTH CAROLINAWORKMANS COMP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.