Active NPI
Michael Fitzgerald
- Speech-Language Pathologist
- Boonsboro, MD
National Provider Identifier
1598901035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00912
- Practice address
- 8507 Mapleville Rd
Boonsboro, MD 21713-1818 - Phone
- (301) 671-5040
- NPI assigned
- Jan 6, 2009
- Last updated
- Jan 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 00912 | MD | Primary |
Addresses
Primary practice location
8507 Mapleville Rd
Boonsboro, MD 21713-1818
Mailing address
9946 Kurtyka Cir
Hagerstown, MD 21740-9504
Phone (301) 714-1197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231200000000",
"number": "1598901035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9946 KURTYKA CIR",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217409504",
"telephone_number": "301-714-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8507 MAPLEVILLE RD",
"city": "BOONSBORO",
"state": "MD",
"postal_code": "217131818",
"telephone_number": "301-671-5040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGERALD",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2009-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "00912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonsboro, MD
- Fahrney-Keedy Memorial Home, Inc (Fahrney-Keedy)
- Fahrney-Keedy Memorial Home, Inc. (Jone L. Bowman Adult Medical Day Center at Fahmey-Keedy)
- Keith Fanjoy, LCSW-C
- Shannon Marie Fender
- Kenneth Anson Film, DDS
- Kelly Ann Flemming, PTA
- Edward James Galligan
- Green Valley Therapy, L.L.C.
- Kristen Grim, MSOTR/L
- Kendall Paige Harne, CPHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.