| Ryan Everett Fitzgerald, MD | |
|
625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 | |
| (727) 898-2663 | |
| (727) 568-6836 |
| Full Name | Ryan Everett Fitzgerald |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Pediatric Orthopaedic Surgery |
| Location | 625 6th Ave S Ste 450, St Petersburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063702314 | NPI | - | NPPES |
| 113017600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | ME153854 (Florida) | Secondary |
| 207XP3100X | Orthopaedic Surgery - Pediatric Orthopaedic Surgery | ME153854 (Florida) | Primary |
| Entity Name | Childrens Orthopaedics & Scoliosis Surgery Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184609851 PECOS PAC ID: 2163436965 Enrollment ID: O20060201000159 |
| Mailing Address | Practice Location Address |
|---|---|
| Ryan Everett Fitzgerald, MD 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 Ph: (727) 898-2663 | Ryan Everett Fitzgerald, MD 625 6th Ave S Ste 450, St Petersburg, FL 33701-4629 Ph: (727) 898-2663 |
Dr. Anthony Stanek Albert, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N Ste N104, St Petersburg, FL 33709 Phone: 727-528-6100 Fax: 727-528-7895 | |
Joseph Robert Temperato, DO Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 603 7th St S Ste 100, St Petersburg, FL 33701 Phone: 727-553-7431 Fax: 727-553-7432 | |
Mr. Clinton Bertrand Davis Ii, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4600 4th Street North, St Petersburg, FL 33703 Phone: 727-527-5272 Fax: 727-522-7412 | |
Lee G Phillips, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 625 6th Ave S Ste 450, St Petersburg, FL 33701 Phone: 727-898-2663 Fax: 727-568-6836 | |
Mr. Brett R Bolhofner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 603 7th St S Ste 450, St Petersburg, FL 33701 Phone: 727-527-5272 Fax: 727-522-7412 | |
Dr. Thomas Nienke, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5880 49th St N Ste N-104, St Petersburg, FL 33709 Phone: 727-528-6100 Fax: 727-528-7895 |