Jesse Fitzgerald

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

Practice address

6070 Clark Rd
Hillsboro, OH 45133-9620

Phone

(740) 616-1616

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

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

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1275282394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6070 CLARK RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339620",
            "telephone_number": "740-616-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6070 CLARK RD",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451339620",
            "telephone_number": "740-616-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia S Fisher, L.P.C.C.
• Judith A Fisher, LICDC
• Nicholas James Fite, ATC/LAT
• Samantha Mae Fite, LMT
• Cathi A Fittro
• Sherry Fleming, PTA
• Anita Foley
• Craig Wallace Forbes, MD
• Connie Sue Fraley, LPN.162235.MEDS-IV
• Robert Jeremy Fraley, OTR/L

• Home Modifications Contractor in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.