NPIMap

Individual provider Active NPI

Stephanie Fitzgerald, M.D.

  • Family Medicine Physician
  • Andrews, TX
National Provider Identifier
1184035313
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4545 Issued in TX
Practice address
700 Hospital Dr
Andrews, TX 79714-3638
Phone
(432) 523-6624
Fax
(432) 524-1129
NPI assigned
May 9, 2014
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10049899 TX
Family Medicine Physician 207Q00000X R4545 TX Primary

Addresses

Primary practice location

700 Hospital Dr
Andrews, TX 79714-3638

Mailing address

700 Hospital Dr
Andrews, TX 79714-3638
Phone (432) 523-6624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207000063 TX Practitioner - Family Practice 4880992163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 8123172988, 10 clinicians

Practice addresses (Care Compare)

704 Hospital Dr
Andrews, TX 79714-3617
Phone (432) 464-2165

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R4545TXMDFamily Medicine Physician
BP10049899TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince Jun 1, 2020 Accepting new patients
Andrews County Hospital District Current Accepting new patients
Permian Physician Services Family Medicine CurrentSince Jun 22, 2020 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Jun 1, 2020 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
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 Family Medicine Past Accepting new patients

Locations

700 Hospital Dr
Andrews, TX 79714
Phone (432) 523-6624

700 Hospital Dr
Ste Rhc
Andrews, TX 79714

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

  • Direct secure messaging: sfitzgerald@permian.medalliesdirect.net
  • Direct secure messaging: stephanie.fitzgerald@direct.myteamcare.com

Organizations & group practices 12

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1184035313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143638",
            "telephone_number": "432-523-6624",
            "fax_number": "432-524-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HOSPITAL DR",
            "city": "ANDREWS",
            "state": "TX",
            "postal_code": "797143638",
            "telephone_number": "432-523-6624",
            "fax_number": "432-524-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "STEPHANIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-09",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10049899",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andrews, TX

Sources for this page

Verify at the official NPI Registry.