Timothy Shawn Fitzgerald in Wilmington - Medical
Timothy Shawn Fitzgerald - NPI 1811907819
Timothy Shawn Fitzgerald is a Medical in Wilmington, North Carolina. Timothy Shawn Fitzgerald practices all healthcare services and medical treatments related to Medical. The NPI Number for Timothy Shawn Fitzgerald is 1811907819. The last update date is 2023-01-24.
Timothy Shawn Fitzgerald's current location address is 1717 Shipyard Blvd, Wilmington, North Carolina. You can contact this provider via phone number 9107990110 and fax number 9107991958. The mailing address for Timothy Shawn Fitzgerald is 1717 Shipyard Blvd, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy Shawn Fitzgerald |
|---|---|
| Address | 1717 Shipyard Blvd, Wilmington, North Carolina |
| Phone Number | 9107990110 |
| Fax Number | 9107991958 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1811907819 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2023-01-24 |
Provider Mailing Address Detail
| Address | 1717 Shipyard Blvd |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284038023 |
| Phone Number | 9107990110 |
| Fax Number | 9107991958 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 112679 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8930772 | NC | -- | |
| 47501023 | NC | TRICARE | |
| P00023289 | NC | RAILROAD MEDICARE | |
| 197953 | NC | CIGNA | |
| 928879 | NC | UNITED HEALTHCARE | |
| 561926376 | NC | WORKMANS COMP | |
| 30772 | NC | BCBS OF NC |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy Shawn Fitzgerald by the Centers for Medicare & Medicaid Services?
The Timothy Shawn Fitzgerald has been issued the NPI (National Provider Identifier) 1811907819, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Timothy Shawn Fitzgerald is physically located?
The Timothy Shawn Fitzgerald is physically situated at the following address: 1717 Shipyard Blvd, Wilmington, NC, 284038023.
What is Timothy Shawn Fitzgerald's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Timothy Shawn Fitzgerald is Medical, and the taxonomy code that categorizes this field of expertise is 363Am0700X.
When did the Timothy Shawn Fitzgerald receive its 1811907819?
The Timothy Shawn Fitzgerald was issued its 1811907819 on 2006-08-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Timothy Shawn Fitzgerald's details last updated?
The information pertaining to the Timothy Shawn Fitzgerald, including its address, specialty, and other details, was most recently updated on 2023-01-24.