Gerald Lee Fitzgerald Jr., NAVY IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

Surface Warfare Medicine Institute
3401 Farenholt Avenue
San Diego, CA 92134-0001

Phone

(808) 375-1486

Fax

(619) 532-5156

NPI assigned

May 23, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1245498484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SURFACE WARFARE MEDICINE INSTITUTE",
            "address_2": "3401 FARENHOLT AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "808-375-1486",
            "fax_number": "619-532-5156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SURFACE WARFARE MEDICINE INSTITUTE",
            "address_2": "3401 FARENHOLT AVENUE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921340001",
            "telephone_number": "808-375-1486",
            "fax_number": "619-532-5156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "GERALD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NAVY IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-23",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Louise Fitzgerald, LCSW
• Bradley Adam Fitzgerald, DC
• Brian Fitzgerald, MD
• Brian Patrick Fitzgerald
• Deborah M Fitzgerald, MD
• Joan Marie Fitzgerald, RN, MSN, FNP
• Kelsey Marie Fitzgerald, PSYD
• Kimberly Fitzgerald, PHD
• Kimberly Fitzgerald, RD
• Kimberly A Fitzgerald, M.D.

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.