Cheryl K Fitzgerald, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PADA503 Issued in AK

Practice address

16839 Park Place St
Eagle River, AK 99577-7819

Phone

(907) 694-3303

Fax

(907) 694-4773

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Algone Center

  • Interventional Pain Medicine Physician
  • Wasilla, AK
  • NPI 1609176783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1033248786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16839 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777819",
            "telephone_number": "907-694-3303",
            "fax_number": "907-694-4773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16839 PARK PLACE ST",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777819",
            "telephone_number": "907-694-3303",
            "fax_number": "907-694-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3066 E Meridian Park Loop",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547372",
            "country_code": "US",
            "telephone_number": "907-373-9460",
            "fax_number": "907-373-9461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3066 E Meridian Park Loop",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996547372",
            "country_code": "US",
            "telephone_number": "907-373-9460",
            "fax_number": "907-373-9461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "CHERYL",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AK",
            "license": "PADA503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas A. Fenger, PH.D., P.A.
• Michele E Finley, L.P.N.
• First Class Home Assisted Living LLC
• Torrance Fishburn, MSW, LCSW
• Blake Fisher, BA HUMAN SERVICES
• Mitchell Jacob Fitzpatrick
• Robert Jay Fleckenstein, OD
• Jo Flesner, REV. AND LPC
• Caitlin Fletcher, LMT
• Rudy Jerry Gilbert Florez

• All providers in Eagle River, AK
• Medical Physician Assistant in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.