Larry W Fitzsimmons, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

4301030647 Issued in MI

Practice address

7660 Pine Park Dr SE
Grand Rapids, MI 49546-9130

Phone

(616) 975-9744

NPI assigned

May 29, 2012

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338249600000",
    "number": "1114287893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 PINE PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469130",
            "telephone_number": "616-975-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7660 PINE PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469130",
            "telephone_number": "616-975-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "LARRY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2012-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301030647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN ID NUMBER",
            "identifier": "LF030647",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert K Fitzgerald, MD
• Kristen Ann Fitzpatrick, LMSW
• Matthew Robert Fitzpatrick, PA-C
• Megan J Fitzpatrick, ANP-BC. M.S.
• Tanya Fitzpatrick
• Emily Fitzwater
• Ellen B Fix, LMSW
• Nicole Fix, LMSW
• Rachael Fizer, D.O.
• Kimberly Ann Flaherty

• Orthopaedic Surgery Physician in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.