Jeffrey Lyn Fitz, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT-2116 Issued in OH

Practice address

6350 Glenway Ave
Cincinnati, OH 45211-6378

Phone

(513) 662-7257

NPI assigned

Jun 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558398743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5418 PINALLAS CT",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452385237",
            "telephone_number": "513-347-7775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GLENWAY AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452116378",
            "telephone_number": "513-662-7257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZ",
        "first_name": "JEFFREY",
        "middle_name": "LYN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-2116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA MEMBER #",
            "identifier": "841081",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE #",
            "identifier": "AT-02116",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Fithen
• Cynthia M. Fitton, MSN, CNP
• Amanda L. Fitz, M.A., CCC-A
• Anne M Fitz, M.D.
• Emma Elizabeth Fitz, MD
• Grace Stafford Fitzgerald
• James Ira Fitzgerald IV
• Kevin R. Fitzgerald, M.D.
• Marcy Antoinette Fitzgerald, APRN, NP-C
• Sarah Elizabeth Fitzgerald, M.D.

• Athletic Trainer in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Athletic Trainer in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.