Individual provider Active NPI

Paul F Fitzgerald, D.M.D.

  • Oral and Maxillofacial Pathology Dentistry
  • South Yarmouth, MA
National Provider Identifier
1851378442
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X
License
12842 Issued in MA
Practice address
241 Station Ave
South Yarmouth, MA 02664-1863
Phone
(508) 398-6055
Fax
(508) 398-7228
NPI assigned
Dec 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Pathology Dentistry 1223P0106X 12842 MA Primary

Addresses

Primary practice location

241 Station Ave
South Yarmouth, MA 02664-1863

Mailing address

241 Station Ave
South Yarmouth, MA 02664-1863
Phone (508) 398-6055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080813000546 MA Practitioner - Oral Surgery 6103991922 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12842MAMDOral and Maxillofacial Pathology Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Cape Oral Surgeons PC CurrentSince Jun 1, 1976 Accepting new patients

Locations

241 Station Ave
South Yarmouth, MA 02664
Phone (508) 398-6055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1851378442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 STATION AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641863",
            "telephone_number": "508-398-6055",
            "fax_number": "508-398-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 STATION AVE",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641863",
            "telephone_number": "508-398-6055",
            "fax_number": "508-398-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "MA",
            "license": "12842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

Verify at the official NPI Registry.