Gerard Joseph Fitzpatrick, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME123914 Issued in FL

Practice address

16230 Summerlin Rd
Suite 213-218
Fort Myers, FL 33908

Phone

(239) 334-3745

Fax

(239) 343-7451

NPI assigned

Oct 18, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1720077159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2147",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339022147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16230 SUMMERLIN RD",
            "address_2": "SUITE 213-218",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-334-3745",
            "fax_number": "239-343-7451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16230 Summerlin Rd",
            "address_2": "Suite 213-218",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339085768",
            "country_code": "US",
            "telephone_number": "239-334-3745",
            "fax_number": "239-343-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "GERARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "54845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME123914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000141",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Hershey Fitch, ARNP
• Ross Fitch, CRNA
• Anne Marie Fitzgibbons, CCC-SLP
• Betty Jean Fitzpatrick, RN, MSN, PNP-PC
• Charles Daren Fitzpatrick, D.C.
• Five Star Rehabilitation and Wellness Services, LLC.
• FL Coral Med Supply Inc
• Patrick Flaharty, MD
• Amy Flaherty
• Linda B Flaherty, PH.D

• Family Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.