Individual
DR. STEVEN J FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1000
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
(216) 844-5970
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35.091751
OH
207X00000X
Orthopaedic Surgery Physician
53324
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000460586
UNISON
—
05
—
0054174
—
OH
05
—
1026721760001
—
PA
05
—
1487857884
—
MI
01
—
614108
WELLCARE
OH
01
—
9062621
AETNA
OH
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
01
—
P00989435
RAILROAD MEDICARE
OH
Enumeration date
06/06/2007
Last updated
01/11/2021
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