Micahel L Fitzpatrick, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

35052675F Issued in OH

Practice address

921 E Franklin St
Kenton, OH 43326-2020

Phone

(419) 675-8328

NPI assigned

Jan 27, 2006

Last updated

Mar 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Professional Services, Inc.

  dba Emergency Professional Services of Ohio, Inc.

  • Emergency Medicine Physician
  • Seaman, OH
  • NPI 1093762353
  Medicare reassignment NPD
• FCHC Medical Care, LLC

  • Multi-Specialty Clinic/Center
  • Wauseon, OH
  • NPI 1598821175
  NPD (past)
• Midwest Emergency Management Ohio, Inc

  • Emergency Medicine Physician
  • Tiffin, OH
  • NPI 1154655850
  NPD (past)
• Nes of Shelby, Inc.

  • Emergency Medicine Physician
  • Shelby, OH
  • NPI 1346473287
  NPD (past)
• Nes Ohio Inc

  • Emergency Medicine Physician
  • Barnesville, OH
  • NPI 1043699200
  NPD (past)
• Nes Ohio Inc

  • Emergency Medicine Physician
  • Coshocton, OH
  • NPI 1346714904
  NPD (past)
• Ohio Em-I Medical Services Professional Association

  • Emergency Medicine Physician
  • Tiffin, OH
  • NPI 1255696480
  NPD (past)
• Tiffin Emergency Services, LLC

  • Emergency Medicine Physician
  • Tiffin, OH
  • NPI 1003874298
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1053382275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7507 ANNIN ST",
            "city": "HOLLAND",
            "state": "OH",
            "postal_code": "435289550",
            "telephone_number": "419-866-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E FRANKLIN ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262020",
            "telephone_number": "419-675-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "MICAHEL",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35052675F",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35052675F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0627521",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hatem Saleh Elhady, M.D.
• Tyler Ellerbrock
• James Brayton Ellis
• James Ferguson
• Reegan Grace Field
• Franklin W Fox, PHARMACIST
• Michele Leigh Franz
• Marcella Frater
• Stacy Fugate, DNP
• Tiffany Geise

• Emergency Medicine Physician in Kenton, OH
• Providers in Kenton, OH by specialty
• Emergency Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.