NPIMap

Organization Active NPI

William Fitzpatrick, MD, PA

  • Family Medicine Physician
  • Corrales, NM
National Provider Identifier
1386951192
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
97-49 Issued in NM
Legal business name
WILLIAM FITZPATRICK, MD, PA
Practice address
10 Coyote TRL
Corrales, NM 87048-7529
Phone
(505) 792-3063
Fax
(505) 922-6405
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

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

Authorized official

Name
Dr. William Fitzpatrick, M.D.
Title
President
Phone
(505) 792-3063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 97-49 NM Primary

Addresses

Primary practice location

10 Coyote TRL
Corrales, NM 87048-7529

Mailing address

10 Coyote TRL
Corrales, NM 87048-7529
Phone (505) 792-3063

Other identifiers 1

IdentifierTypeStateIssuer
1538267984OtherNMNPI TYPE 1

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1386951192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COYOTE TRL",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487529",
            "telephone_number": "505-792-3063",
            "fax_number": "505-922-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COYOTE TRL",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870487529",
            "telephone_number": "505-792-3063",
            "fax_number": "505-922-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM FITZPATRICK, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "505-792-3063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "97-49",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1538267984",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corrales, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; 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.