MICHAEL A FITZGERALD MD NPI 1083634109

NPI Information

NPI: 1083634109
Provider Name: MICHAEL A FITZGERALD, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
4870 BROAD RD
SUITE 3Q
SYRACUSE, NY
ZIP 13215
Phone: (315) 492-5292
Get Directions

Michael A Fitzgerald, MD is a gastroenterology internal medicine in Syracuse, NY. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Michael A Fitzgerald, MD NPI is 1083634109. 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:

4870 BROAD RD
SUITE 3Q
SYRACUSE, NY
ZIP 13215-206
Phone: (315) 492-5292
Fax: (315) 492-5123

The enumeration date for this NPI number is 7/20/2006 and was last updated on 3/6/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0100X	Internal Medicine	Gastroenterology	1189823	NEW YORK	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	56032C	MEDICARE PIN	NEW YORK
2	B81343	MEDICARE UPIN	NEW YORK
3	34944C	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
4	00482260	MEDICAID	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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