Julie Eldredge Fitzgerald
Physician Assistant (Medical)

Address: 530 Demoss Street, Hidalgo Medical Services, Lordsburg, NM 88045-2618
Phone: 5755428384

Julie Eldredge Fitzgerald (NPI# 1982987749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1982987749
Entity Type Individual
Full Name Julie Eldredge Fitzgerald
Credential PA-C
Gender Female
Practice Address 530 Demoss Street
Hidalgo Medical Services
Lordsburg
NM 88045-2618
Practice Telephone 5755428384
Practice Fax Number 5755422328
Mailing Address 530 Demoss Street
Lordsburg
NM 88045-2618
Mailing Telephone 5755428384
Mailing Fax Number 5755428367
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2011-09-27
Last Update Date 2014-03-27

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363AM0700X Physician Assistant · Medical Physician Assistants & Advanced Practice Nursing Providers PA2011-0028 NM

Other Provider Identifier

State Identifier Issuer Type Code
NM 69756279 MEDICAID

Providers with the same name

NPI Name Taxonomy Address Enumeration
1902401433 Julie Fitzgerald Nurse Practitioner 900 S Pavilion Center Dr Ste 180, Las Vegas, NV 89144-4584 2020-12-02
1497882674 Julie Fitzgerald Massage Therapist 630 N Chelan Ave Ste A3, Wenatchee, WA 98801-6622 2007-02-27
1427224039 Julie M. Fitzgerald Speech-Language Pathologist 2727 W Mitchell St, Milwaukee, WI 53215-2259 2008-05-03
1316137813 Julie Christina Hollows Fitzgerald Pediatrics 34th Street & Civic Center Boulevard, Suite 9329, Philadelphia, PA 19104-4399 2007-07-31
1043424211 Julie Anne Fitzgerald Counselor 320 High St Ne, Warren, OH 44481-1222 2007-05-09
1013139815 Julie Fitzgerald Optometrist 806 Landmark Dr, Ste 114, Glen Burnie, MD 21061-4966 2007-05-02
1508916545 Julie Fitzgerald Pediatrics 2160 S 1st Ave, Maywood, IL 60153-3328 2007-01-11
1487748919 Julie Ann Fitzgerald Anesthesiology 1465 E Parkdale Ave, Manistee, MI 49660-9785 2006-10-02

Physician Overview

NPI 1982987749
PAC ID by PECOS 7517132665
Professional Enrollment ID I20111219000699
Full Name Julie E Fitzgerald
Organization Legal Name SILVER HEALTH CARE PC
Phone Number 5755444422
Gender F
Graduation Year 2011
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 5698668333
Number of Group Practice Members 20
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
320016 GILA REGIONAL MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1457957953 Jeremiah Moreno Physician Assistant 1104-1 Medical Arts Ne, Building 4, Suite B, Albuquerque, NM 87102 2020-12-09
1700482478 Vanessa A Acosta Physician Assistant 1804 Carlisle Blvd Ne # 4906, Albuquerque, NM 87110-4906 2020-12-08
1346845666 Justin Angelo Martinez Physician Assistant 302 Calle Onate, Bernalillo, NM 87004-6139 2020-12-03
1386284602 Christopher Whorley Physician Assistant 4683 Idlewilde Ln Se, Albuquerque, NM 87108-3421 2020-01-15
1053836809 Alysha Gallegos Physician Assistant 6112 Molinero Ct Sw, Albuquerque, NM 87105-6814 2017-08-13
1164978540 Deborah L Thorne Physician Assistant 111 W Lucero Ave Ste 6, Las Cruces, NM 88005-1829 2016-08-26
1134572738 Weston Bradley Graff Physician Assistant 703 Christopher Dr, Belen, NM 87002-2617 2016-07-19
1295194629 Ryan Grange Physician Assistant 1851 Old Highway 66 Unit 1, Edgewood, NM 87015 2016-02-12
1720445562 Rebecca Gahan Brown Physician Assistant 150 N Roadrunner Pkwy, Las Cruces, NM 88011 2016-01-25
1508232240 Edward R Watson Physician Assistant 2530 S Telshor Blvd Ste 207, Las Cruces, NM 88011-4975 2015-08-17
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Office Location

Street Address 530 DEMOSS STREET
HIDALGO MEDICAL SERVICES
City LORDSBURG
State NM
Zip Code 88045-2618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588661375 Marlene G. Baska Physician Assistant 530 Demoss Street, Lordsburg, NM 88045-2618 2005-07-07
1962839092 James Wyatt Lines Dentist 530 Demoss Street, Lordsburg, NM 88045-2618 2013-10-03
1982953717 Della Borrego Upton Case Manager/Care Coordinator 530 Demoss Street, Lordsburg, NM 88045-2618 2012-09-07
1720393374 Korinne D Pacheco Counselor 530 Demoss Street, Lordsburg, NM 88045-2618 2010-08-06
1679809479 Ricardo Rios Jr. Chiropractor 530 Demoss Street, Lordsburg, NM 88045-2618 2009-10-29
1619200656 Johnny Ray Flores Counselor 530 Demoss Street, Lordsburg, NM 88045-2618 2009-09-09
1285863738 Hidalgo Medical Services Chiropractor 530 Demoss Street, Lordsburg, NM 88045-2618 2009-07-06
1508022138 Hasani Kudura Counselor 530 Demoss Street, Hidalgo Medical Services Inc, Lordsburg, NM 88045-2618 2008-08-04
1881873388 Andrea Arta Riley Registered Nurse 530 Demoss Street, Lordsburg, NM 88045-2618 2007-10-31
1407810179 Forrest E Henry Family Medicine 530 Demoss Street, Lordsburg, NM 88045-2618 2006-04-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801224969 Patrick Kelly Saucedo Case Manager/Care Coordinator 332 E. Motel Dr., Lordsburg, NM 88045 2013-10-28
1952749459 Edgar Eduardo Gomez Case Manager/Care Coordinator 332 East Motel Drive, Lordsburg, NM 88045 2013-06-06
1265601652 Kristene C. Sheryl Counselor 332 E. Motel Drive, Lordsburg, NM 88045 2008-02-29
1811396823 Efstathia Yerende Counselor 530 De Moss St, Lordsburg, NM 88045 2014-08-14
1073931457 Kerena Barron Case Manager/Care Coordinator 332 East Motel Drive, Lordsburg, NM 88045 2014-04-02
1972711687 Steven Cecil Jones Pharmacist 530 Demoss St, Lordsburg, NM 88045 2007-05-18
1497878003 Sara C Johnson Speech-Language Pathologist 500 Ownby St, Lordsburg, NM 88045 2007-04-09
1669429189 Abeyta Physical Therapy & Sports Medicine Inc Physical Therapist 114 E Motel Dr, Lordsburg, NM 88045 2006-05-29
1235143819 James Bartlem Holder IIi Internal Medicine 167 North Main Street, Tuba City, AZ 88045-0600 2006-07-28
1689881245 Hidalgo Medical Services Clinic/Center 501 W 4th St, Lordsburg, NM 88045-1643 2007-05-16
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Competitor

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City LORDSBURG
Zip Code 88045

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.