Active NPI
Timothy Charles Fitzgibbons, M.D.
- Orthopaedic Surgery Physician
- Omaha, NE
National Provider Identifier
1346281805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 12962
- Practice address
- 7710 Mercy Rd
Suite 224
Omaha, NE 68124-2372 - Phone
- (402) 399-8550
- Fax
- (402) 399-8455
- NPI assigned
- Jun 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 12962 | NE | Primary |
Addresses
Primary practice location
7710 Mercy Rd
Suite 224
Omaha, NE 68124-2372
Mailing address
17030 Lakeside Hills PLZ
Suite 200
Omaha, NE 68130-2396
Phone (402) 399-8550
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0916833 | Medicaid | IA | |
| 09-00179 | Other | NE | SHARE ADVANTAGE/MERCY RD |
| 8012 | Other | NE | MIDLANDS CHOICE |
| 02765 | Other | NE | BCBS OF NEBRASKA |
| 47063010113 | Medicaid | NE | |
| 09-01136 | Other | NE | SHARE ADVANTAGE/LAKESIDE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1346281805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17030 LAKESIDE HILLS PLZ",
"address_2": "SUITE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302396",
"telephone_number": "402-399-8550",
"fax_number": "402-399-8455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 MERCY RD",
"address_2": "SUITE 224",
"city": "OMAHA",
"state": "NE",
"postal_code": "681242372",
"telephone_number": "402-399-8550",
"fax_number": "402-399-8455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZGIBBONS",
"first_name": "TIMOTHY",
"middle_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NE",
"license": "12962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0916833",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARE ADVANTAGE/MERCY RD",
"identifier": "09-00179",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "8012",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NEBRASKA",
"identifier": "02765",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47063010113",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARE ADVANTAGE/LAKESIDE",
"identifier": "09-01136",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.