Active NPI
John W Fitzharris, DO
- Internal Medicine Physician
- Dayton, OH
National Provider Identifier
1467406777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34002529F
- Practice address
- 30 E Apple St
Suite NW 3300
Dayton, OH 45409-2939 - Phone
- (937) 208-8394
- Fax
- (937) 208-8388
- NPI assigned
- May 20, 2006
- Last updated
- Dec 11, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34002529F | OH | Primary |
Addresses
Primary practice location
30 E Apple St
Suite NW 3300
Dayton, OH 45409-2939
Mailing address
30 E Apple St
Suite NW 3300
Dayton, OH 45409-2939
Phone (937) 208-8394
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2440451 | Medicaid | OH | |
| 000000336868 | Other | OH | BCBS |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1615 | AZ | MD | Optometrist |
| 34002529F | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairfield Hospitalists Inc | Internal Medicine | Past | Accepting new patients |
| Hospital Services Medical Group of Clark County Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Fairfield, OH
- NPI 1508900226
-
- Internal Medicine Physician
- Springfield, OH
- NPI 1588659841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386720000000",
"number": "1467406777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE NW 3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E APPLE ST",
"address_2": "SUITE NW 3300",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092939",
"telephone_number": "937-208-8394",
"fax_number": "937-208-8388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZHARRIS",
"first_name": "JOHN",
"middle_name": "W",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-20",
"last_updated": "2013-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34002529F",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2440451",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000336868",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.