Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Stewart Fitzwater, MD

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1619967106

Dr. Douglas Stewart Fitzwater, MD is a Pediatric Medicine in Portageville, Missouri. Graduated from University of Missouri, Kansas City, School of Medicine in 1987, 39 years ago. Practices with Missouri Delta Medical Center, a 131-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
39
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
MO
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

204 E 3rd St
Portageville, MO 63873-1402
Phone: (573) 379-5467
Fax: (573) 379-5671
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 615 Main St, New Madrid, MO 63869-1513 — (573) 748-2546
  • 1 Childrens Pl, Saint Louis, MO 63110-1002 — (314) 454-2076

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R8N02 (MO)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence R8N02 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence R8N02 (MO)

Record details

NPI number1619967106
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESAugust 20, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Also practisesEMERGENCY MEDICINE, FAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 1987 (39 years in practice)
Group practice Missouri Delta Medical Center — 131 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare