Dwight Melvin Fitzgerald, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

20792 Issued in NC

Practice address

3513 Graystone PL
Conover, NC 28613-8201

Phone

(828) 322-8485

Fax

(828) 322-5039

NPI assigned

Jan 11, 2006

Last updated

Mar 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Catawba Surgical Associates PA

  • Specialist
  • Conover, NC
  • NPI 1043273964

  Surgery

  NPD (past) Authorized official
• Center for Advanced Vein Care PLLC

  • Specialist
  • Conover, NC
  • NPI 1194771451

  Surgery

  NPD (past)

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1053390823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3513 GRAYSTONE PL",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-322-8485",
            "fax_number": "828-322-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3513 GRAYSTONE PL",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286138201",
            "telephone_number": "828-322-8485",
            "fax_number": "828-322-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "DWIGHT",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "20792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8932264",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Espiritu Clinic PLLC
• Maria Carmen Edaugal Espiritu, M.D.
• Executive Addictions
• Family Healthcare Practice PLLC
• Family Matters Counseling Services PLLC
• Kelly Anne Fonville, MS OTR IL
• Gaston Family Health Services Inc (Kintegra at Lyle Creek Elementary)
• Gaston Family Health Services, Inc. (Kintegra at St. Stephens Elementary)
• Gaston Family Health Services, Inc. (Kintegra at Shuford Elementary)
• Gaston Family Health Services, Inc. (Kintegra at Newton-Conover Middle)

• Surgery Physician in Conover, NC
• Providers in Conover, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.