Organization Active NPI

Kathleen Fizgerald, MD

  • Obstetrics & Gynecology Physician
  • Providence, RI
National Provider Identifier
1316114820
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD5120 Issued in RI
Legal business name
KATHLEEN FIZGERALD, MD
Practice address
120 Dudley St
Suite 305
Providence, RI 02905-2436
Phone
(401) 453-7555
Fax
(401) 453-7791
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Authorized official

Name
Kathleen Fitzgerald, MD
Title
President
Phone
(401) 453-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD5120 RI Primary

Addresses

Primary practice location

120 Dudley St
Suite 305
Providence, RI 02905-2436

Mailing address

120 Dudley St
Suite 305
Providence, RI 02905-2436
Phone (401) 453-7555

National Provider Directory

National Provider Directory

Locations

120 Dudley St
Ste 305
Providence, RI 02905
Phone (401) 453-7555

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1316114820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "SUITE 305",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052436",
            "telephone_number": "401-453-7555",
            "fax_number": "401-453-7791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DUDLEY ST",
            "address_2": "SUITE 305",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029052436",
            "telephone_number": "401-453-7555",
            "fax_number": "401-453-7791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN FIZGERALD, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-453-7555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD5120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.