Dr. Douglas Stewart Fitzwater
MD | Pediatrics | Male
Dr. Douglas Stewart Fitzwater, MD is a Portageville, Missouri based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Douglas Stewart Fitzwater is
204 E 3rd St, Portageville, Missouri - 63873-1402. He can be contacted on phone at
573-379-5467 and fax number 573-379-5671.
Dr. Douglas Stewart Fitzwater is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Douglas Stewart Fitzwater is
1619967106 which was assigned by NPPES on 26 Oct, 2005 and it was last updated on 20 Aug, 2019.
Dr. Douglas Stewart Fitzwater license number is
R8N02 for Pediatrics (208000000X) in Missouri.
Dr. Douglas Stewart Fitzwater is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Douglas Stewart Fitzwater basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Douglas Stewart Fitzwater |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Douglas Stewart Fitzwater address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 204 E 3rd St
Portageville, MO, 63873-1402
United States |
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| Phone Number : | 573-379-5467 |
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| Fax Number : | 573-379-5671 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1619967106 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 26 Oct, 2005 |
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| Last Updated On : | 20 Aug, 2019 |
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Medicare Participation:
Dr. Douglas Stewart Fitzwater participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2365349768 |
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| Medicare Enrollment ID : | I20040915000253 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | University Of Missouri, Kansas City, School Of Medicine |
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| Graduation Year : | 1987 |
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| Accepts Medicare? | Yes. Dr. Douglas Stewart Fitzwater accepts medicare insurance. |
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Group Practice Association:
Dr. Douglas Stewart Fitzwater is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Douglas Stewart Fitzwater is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Missouri Delta Medical Center | 1355252891 | 60 | 135 Plaza Dr
Sikeston, MO - 638015148 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Douglas Stewart Fitzwater are as mentioned. Primary taxonomy code for Dr. Douglas Stewart Fitzwater, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | R8N02 | MO |
| 208M00000X | Hospitalist | No | R8N02 | MO |
| 208000000X | Pediatrics | Yes | R8N02 | MO |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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1 CHILDRENS PL,
SAINT LOUIS, MO, 63110-1002
United States | SAINT LOUIS, MO | 314-454-2076 |
615 MAIN ST,
NEW MADRID, MO, 63869-1513
United States | NEW MADRID, MO | 573-748-2546 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1008 N Main St
Sikeston, MO, 63801-5044
United States |
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| Phone Number : | 573-472-7406 |
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| Fax Number : | 573-472-7475 |
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Business Location:
Patients can refer following map for directions to
Dr. Douglas Stewart Fitzwater practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.