FREDERICK B FITTS JR. (NPI# 1609829613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609829613 |
| Entity Type | Individual |
| Full Name | FREDERICK B FITTS JR. |
| Credential | MD |
| Practice Address |
1501 Hiland Ave Burley ID 83318-2682 |
| Mailing Address |
Po Box 1886 Twin Falls ID 83303-1886 |
| Practice Telephone | 2086776513 |
| Mailing Telephone | 2087360887 |
| Mailing Fax Number | 2087360890 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
M6310 | ID | Allopathic & Osteopathic Physicians |
| Street Address |
1501 HILAND AVE |
| City | BURLEY |
| State | ID |
| Zip Code | 83318-2682 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114910296 | Melvin Terry Jeppson | Obstetrics & Gynecology | 1501 Hiland Ave, Suite B, Burley, ID 83318-2682 | 2005-08-24 |
| 1679194955 | Cami Dixon | Dietitian, Registered | 1501 Hiland Ave, Burley, ID 83318-2688 | 2020-04-28 |
| 1659838027 | Rnba LLC | Nurse Anesthetist, Certified Registered | 1501 Hiland Ave, Burley, ID 83318-2688 | 2019-02-21 |
| 1629540422 | Maria G. Rivera | Family Medicine | 1501 Hiland Ave, Burley, ID 83318-2688 | 2018-12-19 |
| 1942777859 | Heather M Meyers | Pharmacist | 1501 Hiland Ave, Burley, ID 83318-2688 | 2018-10-29 |
| 1457889925 | Camille Jane Wynn | Speech-Language Pathologist | 1501 Hiland Ave, Burley, ID 83318-2688 | 2017-05-30 |
| 1386180578 | Tiffany Schenk | Registered Nurse | 1501 Hiland Ave, Suite H, Burley, ID 83318-2688 | 2017-01-11 |
| 1053855742 | Tyler Carlen | Physical Therapist | 1501 Hiland Ave, Burley, ID 83318-2688 | 2016-12-14 |
| 1518417328 | Laura Watkins | Dietitian, Registered | 1501 Hiland Ave, Suite H, Burley, ID 83318-2688 | 2016-10-05 |
| 1043672850 | Snarr Anesthesia Services Pllc | Nurse Anesthetist, Certified Registered | 1501 Hiland Ave, Burley, ID 83318-2688 | 2016-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902366834 | Pain & Spine Consultants | Clinic/Center | 1344 Hiland Avenue, Ste A, Burley, ID 83318 | 2019-03-25 |
| 1609335090 | Hurst Medical Pllc | Clinic/Center | 1700 Overland Ave Ste 1, Burley, ID 83318 | 2019-03-15 |
| 1831654243 | Mini-cassia Hearts 4 Seniors | In Home Supportive Care | 135 East 23rd Drive, Burley, ID 83318 | 2019-02-11 |
| 1841760493 | Burley Family Dental Pllc | Dentist | 2200 Parke Ave Ste 2, Burley, ID 83318 | 2018-11-27 |
| 1831634823 | Skye Fahnlander | Occupational Therapy Assistant | 2303 Parke Ave, Burley, ID 83318 | 2016-12-29 |
| 1285024497 | Albion Valley Health Clinic Inc. | Clinic/Center | 400 West 5th Street, Burley, ID 83318 | 2015-01-26 |
| 1124372370 | A Plus Solutions Center | Clinic/Center | 2311 Parke Ave. Unit 3, Suite 12, Burley, ID 83318 | 2012-11-08 |
| 1831442805 | A Plus Solutions Developmental Center LLC | Day Training, Developmentally Disabled Services | 2251 Overland Avenue, Suite Number 5, Burley, ID 83318 | 2012-10-16 |
| 1619258159 | Keleah Margrete Goldammer | Occupational Therapist | 2303 Parke Avenue, Burley, ID 83318 | 2011-08-29 |
| 1932490984 | Tamera Chatburn | Counselor | 531 East 5th St., Preferred Child and Family Services, Burley, ID 83318 | 2011-04-26 |
| Find all providers in zip 83318 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467709352 | A Window Within Imaging Center | Radiology | 723 Pine St, Sandpoint, ID 83864-1486 | 2012-08-09 |
| 1407081060 | Teton Radiology Madison LLC | Radiology | 425 E 4th N, Rexburg, ID 83440-5390 | 2009-05-26 |
| 1841291861 | Charles W Maile | Radiology | 520 North Third, Sandpoint, ID 83864-1507 | 2005-08-02 |
| 1023246741 | Chad Eric Sarver | Radiology | 500 W Fort St, Boise, ID 83702-4501 | 2009-07-01 |
| 1194969725 | Teton Radiology Diagnostic, LLC | Radiology | 2001 S Woodruff Ave Ste 17, Idaho Falls, ID 83404-6372 | 2009-04-27 |
| 1679710123 | Russell W Wright | Radiology | 190 E Bannock St, C/o Boise Radiology Group, Boise, ID 83712-6241 | 2009-01-20 |
| 1447402425 | Christopher James Malcom | Radiology | 4519 Enterprise Way, Caldwell, ID 83605-8055 | 2008-10-21 |
| 1326257064 | Mark Ryan Papenfuss | Radiology | 1055 N Curtis Road, Boise, ID 83706-1309 | 2007-05-21 |
| 1841392982 | Jeffrey Carl Bickel | Radiology | 415 6th St, Lewiston, ID 83501-2431 | 2006-09-01 |
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| 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.