Terrence Thomas Fitzgerald, M.D.

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

License

D31064 Issued in MD

Practice address

516 Glenwood Ave
Baltimore, MD 21212-4230

Phone

(410) 925-1220

NPI assigned

Oct 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Yardmore Emergency Physicians LLC

  • Emergency Medicine Physician
  • Baltimore, MD
  • NPI 1730131657
  NPD (past)

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

{
    "created_epoch": "1129420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363824000000",
    "number": "1881683522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10445",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212090445",
            "telephone_number": "410-925-1220",
            "fax_number": "410-601-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 GLENWOOD AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212124230",
            "telephone_number": "410-925-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "TERRENCE",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-16",
        "last_updated": "2013-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D31064",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D31064",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "MD",
            "license": "D31064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465611300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0497570",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kumjae Fitzgerald
• Jennifer L Fitzgerald, MS, NNP-BC
• John Creighton Fitzgerald
• Meghan Fitzgerald, LCSW-C
• Tarnisha Fitzgerald, CRNP, FNP-BC
• Thomas Patrick Fitzgerald, DO
• Victory Fitzgerald
• Vincent Fitzgerald, PA
• Courtney Dayle Fitzhugh, M.D.
• Danielle Fitzhugh, LCSWC

• Addiction Medicine (Internal Medicine) Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Addiction Medicine (Internal Medicine) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.