Philip Clark Fitzpatrick III, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

21635 Issued in NE

Practice address

801 William Ave
North Platte, NE 69101

Phone

(308) 532-3330

Fax

(308) 532-3334

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Otolaryngology

Education

Tulane University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Citizens Medical Center Inc 30 clinicians

North Platte Nebraska Hospital Corporation 237 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Plains Health Hospital, North Platte, NE, CCN 280065
• Citizens Medical Center Hospital, Colby, KS, CCN 171362
• Community Hospital Hospital, McCook, NE, CCN 281363
• Brown County Hospital Hospital, Ainsworth, NE, CCN 281325
• Perkins County Health Services Hospital, Grant, NE, CCN 281356

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e699c25a-4b9f-4771-9576-e790a1116e0f/
• FHIR API: https://fhir-myrecord.cerner.com/r4/f24ac13d-3953-486e-b046-3f6f7cc41dd9/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533

  NE

  Medicare reassignment Care Compare group NPD
• Citizens Medical Center, Inc.

  • Critical Access Hospital
  • Colby, KS
  • NPI 1386678431

  KS

  Medicare reassignment Care Compare group NPD
• Brown County Hospital

  • Emergency Medicine Physician
  • Ainsworth, NE
  • NPI 1417027210

  NE, Otolaryngology

  Medicare reassignment NPD
• Brown County Hospital

  • Critical Access Hospital
  • Ainsworth, NE
  • NPI 1760464283

  NE

  Medicare reassignment NPD
• Chase County Community Hospital

  • Family Medicine Physician
  • Imperial, NE
  • NPI 1033277751

  NE

  Medicare reassignment NPD
• Chase County Community Hospital

  • Critical Access Hospital
  • Imperial, NE
  • NPI 1609934843

  NE

  Medicare reassignment NPD
• Community Hospital Association

  • Emergency Medicine Physician
  • MC Cook, NE
  • NPI 1588771158

  NE

  Medicare reassignment NPD
• Community Hospital Association

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500

  NE

  Medicare reassignment NPD
• Perkins County Hospital District

  • Critical Access Hospital
  • Grant, NE
  • NPI 1437167970

  NE

  Medicare reassignment NPD
• Perkins County Hospital District

  • Critical Access Hospital
  • Grant, NE
  • NPI 1629086012

  NE

  Medicare reassignment NPD
• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  Care Compare group NPD
• Citizens Medical Center Inc

  • Community/Retail Pharmacy
  • Colby, KS
  • NPI 1447962493
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brown County Hospital

  • Critical Access Hospital
  • Ainsworth, NE
  • NPI 1760464283

  Hospital

  Care Compare affiliation
• Community Hospital Association

  • Critical Access Hospital
  • McCook, NE
  • NPI 1841204500

  Hospital

  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533

  Hospital

  Care Compare affiliation
• North Platte Nebraska Hospital Corporation

  • Clinical Medical Laboratory
  • North Platte, NE
  • NPI 1902660509

  Hospital

  Care Compare affiliation
• Perkins County Hospital District

  • Critical Access Hospital
  • Grant, NE
  • NPI 1629086012

  Hospital

  Care Compare affiliation
• Citizens Medical Center, Inc.

  • Critical Access Hospital
  • Colby, KS
  • NPI 1386678431

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1588742001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WILLIAM AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016556",
            "telephone_number": "308-532-3330",
            "fax_number": "308-532-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 WILLIAM AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69101",
            "telephone_number": "308-532-3330",
            "fax_number": "308-532-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E College Dr",
            "address_purpose": "LOCATION",
            "city": "Colby",
            "state": "KS",
            "postal_code": "677013799",
            "country_code": "US",
            "telephone_number": "785-462-7511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "PHILIP",
        "middle_name": "CLARK",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "21635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "35296",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47084139713",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Rosanna Fisher, MSW, PLMHP, PCMSW
• Mary Fisher
• Stephanie Fisher
• Fitzpatrick Ear, Nose & Throat Clinic, P.C.
• Elaine Louise Fitzpatrick, M.D.
• Five Star Quality Care-NE, LLC
• Jill Flaming
• Flatrock Family Dentistry, P.C.
• Roberta Fletcher
• Mellissa Flynn

• All providers in North Platte, NE
• Otolaryngology Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.