Thomas M Fitzpatrick (NPI# 1588684781, PAC ID# 7416841044) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1588684781 |
PAC ID by PECOS | 7416841044 |
Professional Enrollment ID | I20040716000024 |
Full Name | Thomas M Fitzpatrick |
Organization Legal Name | THOMAS M FITZPATRICK MD LLC |
Address |
525 N Barnes St Seneca OR 97873 |
Phone Number | 5412346300 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE |
Graduation Year | 1987 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 1456404284 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
381307 | HARNEY DISTRICT HOSPITAL |
380047 | ST CHARLES MEDICAL CENTER - BEND |
381305 | BLUE MOUNTAIN HOSPITAL |
Address | Phone | Organization |
---|---|---|
525 N Barnes St, Seneca, OR 97873 | 5412346300 | THOMAS M FITZPATRICK MD LLC |
525 N Barnes St, Seneca Medical Clinic, Seneca, OR 97873 | 5412346300 | THOMAS M FITZPATRICK MD LLC |
Organization Legal Name | THOMAS M FITZPATRICK MD LLC |
Physicians | 1 |
Street Address |
525 N BARNES ST |
City | SENECA |
State | OR |
Zip | 97873 |
City | SENECA |
Zip Code | 97873 |
Specialty | FAMILY PRACTICE |
City + Specialty | SENECA + FAMILY PRACTICE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.