PHILIP J. FITZPATRICK (NPI# 1770556219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770556219 |
| Entity Type | Individual |
| Full Name | PHILIP J. FITZPATRICK |
| Credential | M.D. |
| Practice Address |
100 Mcgregor St Manchester NH 03102-3730 |
| Practice Telephone | 6036694013 |
| Mailing Telephone | 6036694013 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
13535 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036109832 | 05 | |
| DEA | AF1552036 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588742001 | Philip Clark Fitzpatrick IIi | Otolaryngology | 801 William Ave, North Platte, NE 69101 | 2006-11-01 |
| Street Address |
100 MCGREGOR ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1063011294 | Nycol Clough | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-19 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407012040 | Keerthana Kalengada Karumbaiah | Internal Medicine | 65 Glenndale Rd, Suite 2, Manchester, KY 40962-6212 | 2008-08-04 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| 1023077609 | Hazar Dahhan | Internal Medicine | 201 Main St, Manchester, CT 06042-3540 | 2006-03-21 |
| 1114995321 | Joseph Hanna | Internal Medicine | 18 Haynes St, Manchester, CT 06040-4111 | 2006-03-14 |
| 1962482109 | Saqib Naseer | Internal Medicine | 257 E Center St, Manchester, CT 06040-5214 | 2006-01-21 |
| 1427043777 | Eastern Connecticut Cardiology Associates LLC | Internal Medicine | 43 W Middle Tpke, Manchester, CT 06040-4057 | 2005-09-13 |
| 1811993280 | Ashwini Anand | Internal Medicine | 56 Marie Langdon Dr, Manchester, KY 40962-6329 | 2005-06-22 |
| 1275970394 | Carolyn Davidson | Internal Medicine | 1 Elliot Way Ste 100, Manchester, NH 03103-3502 | 2013-05-30 |
| 1689937278 | Besiana Liti | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102 | 2012-06-19 |
| 1174827638 | Elliot Professional Services | Internal Medicine | 1 Elliot Way, Suite 100, Manchester, NH 03103-3502 | 2010-12-27 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
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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.