F. B. Fitts Jr., M.D. PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

F. B. FITTS JR., M.D. PC

Practice address

1344 Hiland Ave
Burley, ID 83318-1564

Phone

(208) 678-1138

NPI assigned

May 19, 2006

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frederick B. Fitts Jr., MDNPI 1609829613

Title

President

Phone

(208) 420-8991

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frederick B Fitts Jr., MD

  • Body Imaging Physician
  • Burley, ID
  • NPI 1609829613
  NPD (past) Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1255385837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1886",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833031886",
            "telephone_number": "208-736-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 HILAND AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833181564",
            "telephone_number": "208-678-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. B. FITTS JR., M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "FITTS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-420-8991",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807411600",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8M816",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "000010155405",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelin Tingey Erekson, CF-SLP
• Evans Dental PA
• Evans Family Chiropractic, LLC.
• Erik R. Evans, CHIROPRACTOR
• Evening Medical Clinic
• Family Health Services Corporation
• Family Health Services Corporation (FHS Burley Pharmacy)
• Family Health Services Corporation (Family Health Services)
• Family Health Services Corporation (Family Health Services)
• Casten R Fischer, DO

• Diagnostic Radiology Physician in Burley, ID
• Providers in Burley, ID by specialty
• Diagnostic Radiology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.