VIRGINIA FITZGERALD MD NPI 1487628087

NPI Information

NPI: 1487628087
Provider Name: VIRGINIA FITZGERALD, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
409 W BROADWAY
SOUTH BOSTON, MA
ZIP 02127
Phone: (617) 269-7500
Get Directions

Virginia Fitzgerald, MD is a pediatrics in South Boston, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Virginia Fitzgerald, MD NPI is 1487628087. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

409 W BROADWAY
SOUTH BOSTON, MA
ZIP 02127-245
Phone: (617) 269-7500
Fax: (617) 464-7512

The NPI 1487628087 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 enumeration date for this NPI number is 2/13/2006 and was last updated on 12/1/2011.

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	208000000X	Pediatrics		54611	MASSACHUSETTS	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	Other Provider Identifier Issuer
1	00000008295	OTHER	MASSACHUSETTS	BMC HEALTHNET
2	054611	OTHER	MASSACHUSETTS	TUFTS HEALTH PLAN
3	202216BMC	OTHER	MASSACHUSETTS	HARVARD PILGRIM
4	B10338103	OTHER	MASSACHUSETTS	CIGNA
5	I24663	MEDICARE UPIN	MASSACHUSETTS
6	202216BMC	OTHER	MARYLAND	FIRST SENIORITY
7	0018245	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
8	J31632	OTHER	MASSACHUSETTS	BLUE CROSS

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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