Aurora Womens Health Care

Primary specialty

SpecialistTaxonomy code 174400000X

License

4644 Issued in AK

Legal business name

AURORA WOMENS HEALTH CARE

Practice address

2490 S Woodworth LP
Suite 200
Palmer, AK 99645-7405

Phone

(907) 746-7747

Fax

(907) 746-7731

NPI assigned

Jul 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Micheal Glen Fitzgerald, M.D.

Title

Owner

Phone

(908) 746-7747

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972522415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LP",
            "address_2": "SUITE 200",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-746-7747",
            "fax_number": "907-746-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LP",
            "address_2": "SUITE 200",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-746-7747",
            "fax_number": "907-746-7731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA WOMENS HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "GLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-746-7747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AK",
            "license": "4644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD67611",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Atkinson, RN, CNOR, RNFA
• Jesse W Atwood, MD
• Jordan Auldridge
• Aurora Kid, LLC
• Aurora Therapeutic Services, LLC
• Kaija A Backus
• Naidene Baechler, MSW
• Ashley Elisabeth Bailey, COTA
• Clara Marie Bailey
• Collette Azure Bailey, RPH

• All providers in Palmer, AK
• Specialist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.