Stephanie Fitzgerald, M.D.
Individual provider Active NPI Family Medicine Physician · Andrews, TX
NPI 1184035313 · NPPES record last updated Apr 28, 2023
Key facts
- NPI
- 1184035313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- R4545 (TX)
- Practice address
- 700 Hospital Dr
Andrews, TX 79714-3638 - Phone
- (432) 523-6624
- Fax
- (432) 524-1129
- NPI assigned
- May 9, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Texas Tech University Health Science Center School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Permian Physician Services
Practice addresses (Care Compare)
704 Hospital Dr
Andrews, TX 79714-3617
Phone (432) 464-2165
Hospital & facility affiliations
- Permian Regional Medical Center Andrews County Ho
- Midland Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171207000063 | TX | Practitioner - Family Practice | 4880992163 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP10049899 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrews County Hospital District | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Permian Physician Services | Family Medicine | Current |
Accepting new patients |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| Andrews County Hospital District | Family Medicine | Past | Accepting new patients |
| Andrews County Hospital District | Family Medicine | Past | Accepting new patients |
| Andrews County Hospital District | Family Medicine | Past | Accepting new patients |
| Andrews County Hospital District | Past | Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients | |
| Andrews County Hospital District | Past | Accepting new patients |
Locations
700 Hospital Dr
Ste Rhc
Andrews, TX 79714
700 Hospital Dr
Andrews, TX 79714
Phone (432) 523-6624
704 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2165
720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
Interoperability endpoints
- stephanie.fitzgerald@direct.myteamcare.com
- sfitzgerald@permian.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10049899 | TX | |
| Family Medicine Physician | 207Q00000X | R4545 | TX | Yes |
Addresses
Primary practice location
700 Hospital Dr
Andrews, TX 79714-3638
Mailing address
700 Hospital Dr
Andrews, TX 79714-3638
Phone (432) 523-6624
Other providers in Andrews, TX
- Sandra Eades
- Scarlett Taylor Ellis
- Luis Miguel Esparza
- Ubaldo Estrada
- Celeste Everts
- Savanna Nicole Flores
- Francisco Javier Morales, O.D., P.C.
- Robert William Garcia
- Aaron Gibson
- Wyvonee Norstun Goodwin
All providers in Andrews, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.