MR. THOMAS M FITZGERALD DPM NPI 1841231834

NPI Information

NPI: 1841231834
Provider Name: MR. THOMAS M FITZGERALD, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
1350 MEDICAL CENTER DRIVE
STE B
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 586-9300
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MR. Thomas M Fitzgerald, DPM is a primary podiatric medicine podiatrist in Rohnert Park, CA. MR. Thomas M Fitzgerald, DPM NPI is 1841231834. 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:

1350 MEDICAL CENTER DRIVE
STE B
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 586-9300
Fax: (707) 586-1252

The NPI 1841231834 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).

The enumeration date for this NPI number is 6/9/2006 and was last updated on 5/16/2013.

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	213E00000X	Podiatrist		E3409	CALIFORNIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	E3409	CALIFORNIA	No
3	213EP1101X	Podiatrist	Primary Podiatric Medicine	E3409	CALIFORNIA	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	000E34090	MEDICARE PIN	CALIFORNIA
2	T11681	MEDICARE UPIN
3	0308300001	MEDICARE NSC	CALIFORNIA
4	000E34090	OTHER	CALIFORNIA	BLUE SHIELD
5	000E34090	MEDICAID	CALIFORNIA
6	680159845	OTHER	CALIFORNIA	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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