Individual provider Active NPI

Kathryn M Fitzgerald, D.O

  • Surgery Physician
  • Clearfield, PA
National Provider Identifier
1215324017
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS023598 Issued in PA
Practice address
815 Doctors Dr
Clearfield, PA 16830-1240
Phone
(814) 205-1900
Fax
(814) 205-1902
NPI assigned
Apr 20, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 305671 NY
Surgery Physician 208600000X OS023598 PA Primary

Addresses

Primary practice location

815 Doctors Dr
Clearfield, PA 16830-1240

Mailing address

815 Doctors Dr
Clearfield, PA 16830-1240
Phone (814) 205-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201014002825 NY Practitioner - General Surgery 0840610739 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Nova Southeastern College of Osteo Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
305671NYMDSurgery Physician
OS023598PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marlette Regional Hospital Single Specialty Current Accepting new patients
Hills & Dales General Hospital, Inc. Single Specialty Current Accepting new patients
MVHS Inc Single Specialty CurrentSince Sep 20, 2021 Accepting new patients
Columbia Memorial Hospital CurrentSince Nov 3, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Jan 12, 2025 Accepting new patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
Guthrie Medical Group, P.C. Single Specialty CurrentSince Sep 1, 2020 Accepting new patients
MVHS Inc CurrentSince Sep 20, 2021 Accepting new patients
Marlette Regional Hospital Single Specialty CurrentSince Jan 12, 2025 Accepting new patients
Columbia Memorial Hospital Single Specialty Current Accepting new patients
Columbia Memorial Hospital CurrentSince Nov 3, 2025 Accepting new patients
Marlette Regional Hospital CurrentSince Jan 12, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2750 Main St
Marlette, MI 48453
Phone (989) 635-4002

2750 Main St
Ste 5
Marlette, MI 48453
Phone (989) 635-4050

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1259 Fisher Ave
Cortland, NY 13045
Phone (607) 756-4600

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

71 Prospect Ave
Ste 190
Hudson, NY 12534
Phone (518) 697-3000

1780 Hanshaw Rd
Ithaca, NY 14850
Phone (607) 257-5858

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1656 Champlin Ave
Ste 335
Utica, NY 13502
Phone (315) 624-4090

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Interoperability endpoints

  • Direct secure messaging: kfitzgerald31929@mvhealthsystem.direct-ci.com
  • Direct secure messaging: kfitsgerald176212@direct.covenanthealthcare.com
  • Direct secure messaging: kfitzgerald160872@direct-guthrie.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1215324017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 DOCTORS DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301240",
            "telephone_number": "814-205-1900",
            "fax_number": "814-205-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 DOCTORS DR",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168301240",
            "telephone_number": "814-205-1900",
            "fax_number": "814-205-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "305671",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS023598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

Verify at the official NPI Registry.