NPIMap

Organization Active NPI

William C Fitzhugh MD PA

Doing business as Southern Idaho Ophthalmology

  • Ophthalmology Physician
  • Twin Falls, ID
National Provider Identifier
1427096148
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
M9542 Issued in ID
Legal business name
WILLIAM C FITZHUGH MD PA
Doing business as
Southern Idaho Ophthalmology
Practice address
1415 Parkview Dr
Twin Falls, ID 83301-3250
Phone
(208) 734-8934
Fax
(208) 734-8974
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. James Coombs, M.D.NPI 1760425169
Title
Ceo
Phone
(208) 734-8934

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X M9542 ID Primary

Addresses

Primary practice location

1415 Parkview Dr
Twin Falls, ID 83301-3250

Mailing address

1415 Parkview Dr
Twin Falls, ID 83301-3250
Phone (208) 734-8934

Other identifiers 1

IdentifierTypeStateIssuer
806351900MedicaidID

Other names 1

  • Southern Idaho Ophthalmology Doing business as

National Provider Directory

National Provider Directory

Locations

714 G St
Rupert, ID 83350
Phone (208) 436-3455

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1427096148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 PARKVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-734-8934",
            "fax_number": "208-734-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PARKVIEW DR",
            "city": "TWIN FALLS",
            "state": "ID",
            "postal_code": "833013250",
            "telephone_number": "208-734-8934",
            "fax_number": "208-734-8974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM C FITZHUGH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-734-8934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M9542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806351900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Idaho Ophthalmology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Twin Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2015; 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.