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THOMAS M FITZPATRICK MD LLC NPI 1942529565


NPI Information

NPI: 1942529565
Provider Name: THOMAS M FITZPATRICK MD LLC

Doing Business As: MOUNTAIN SAGE MEDICAL

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D2008777

Address:
229 N EGAN AVE
BURNS, OR
ZIP 97720
Phone: (541) 573-7988
Get Directions

THOMAS M FITZPATRICK MD LLC is a family medicine in Burns, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THOMAS M FITZPATRICK MD LLC NPI is 1942529565. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mountain Sage Medical.

The provider's business location address is:

229 N EGAN AVE
BURNS, OR
ZIP 97720-741
Phone: (541) 573-7988
Fax: (888) 371-1993

The provider's authorized official is Thomas Fitzpatrick .
The authorized official title is Sole Member and has the following contact phone number (541) 573-7988.

The CLIA number assigned to this NPI record is 38D2008777 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/21/2010 and was last updated on 5/21/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD16856OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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