JON TODD FITZGERALD DPM NPI 1134111776

NPI Information

  • NPI: 1134111776
  • Provider Name: JON TODD FITZGERALD, DPM
  • Classification: Podiatrist - 213E00000X
  • Entity Type: Individual
  • Address: 543 3RD ST
    STE C1
    LAKE OSWEGO, OR
    ZIP 97034
  • Phone: (503) 636-9656

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NPI Details

Jon Todd Fitzgerald, DPM is a podiatrist in Lake Oswego, OR. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. Jon Todd Fitzgerald, DPM NPI is 1134111776. 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:

543 3RD ST
STE C1
LAKE OSWEGO, OR
ZIP 97034-067
Phone: (503) 636-9656
Fax: (503) 636-9657

The enumeration date for this NPI number is 8/19/2005 and was last updated on 12/9/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristDP00248OREGONYes

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 Other Provider Identifier Issuer
10827050001MEDICARE NSCOREGON
2054399002OTHEROREGONBLUE CROSS
33008597-02OTHEROREGONHMOO
4U48418MEDICARE UPIN
5067533MEDICAIDOREGON
6F627OTHEROREGONHEALTHNET
7000SGBLPMEDICARE OSCAR/CERTIFICATIONOREGON

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: 11/21/2025

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