Active NPI
John O Fitts M.D., PSC
- Cardiovascular Disease Physician
- Bowling Green, KY
National Provider Identifier
1215978101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD15862
- Legal business name
- JOHN O FITTS M.D., PSC
- Practice address
- 1325 Andrea St
Ste 101
Bowling Green, KY 42104-5852 - Phone
- (270) 842-7272
- NPI assigned
- Jun 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John O. Fitts
- Title
- President
- Phone
- (270) 842-7272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD15862 | KY | Primary |
Addresses
Primary practice location
1325 Andrea St
Ste 101
Bowling Green, KY 42104-5852
Mailing address
1325 Andrea St
Ste 101
Bowling Green, KY 42104-5852
Phone (270) 842-7272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64158629 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1325 Andrea St
Ste 101
Bowling Green, KY 42104
Phone (270) 781-8420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1226620800000",
"number": "1215978101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 ANDREA ST",
"address_2": "STE 101",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045852",
"telephone_number": "270-842-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 ANDREA ST",
"address_2": "STE 101",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421045852",
"telephone_number": "270-842-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN O FITTS M.D., PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2008-11-14",
"status": "A",
"authorized_official_last_name": "FITTS",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "270-842-7272",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "MD15862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64158629",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.