NPIMap

Individual provider Active NPI

Philip Clark Fitzpatrick III, M.D.

  • Otolaryngology Physician
  • North Platte, NE
National Provider Identifier
1588742001
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
May 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 21635 NE Primary

Addresses

Primary practice location

801 William Ave
North Platte, NE 69101

Mailing address

801 William Ave
North Platte, NE 69101-6556
Phone (308) 532-3330

Other practice location 1

100 E College Dr
Colby, KS 67701-3799
Phone (785) 462-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100817000233 NE Practitioner - OtolaryngologyPractitioner - General Surgery 5294879813 Reassigns benefits to 10 organizations
I20170316002190 KS Practitioner - Otolaryngology 5294879813 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 8729996467, 30 clinicians

Practice addresses (Care Compare)

100 E College Dr
Colby, KS 67701-3799
Phone (785) 462-7511

601 W Leota St
North Platte, NE 69101-6525

801 William Ave
Great Plains Health Ear Nose and Throat
North Platte, NE 69101-6556
Phone (308) 568-4600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chase County Community Hospital CurrentSince Oct 1, 2011 Accepting new patients
Brown County Hospital CurrentSince Nov 20, 2012 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Nov 1, 2023 Accepting new patients
Community Hospital Association CurrentSince Sep 25, 2017 Accepting new patients
Citizens Medical Center, Inc. CurrentSince Mar 20, 2017 Accepting new patients
Brown County Hospital Otolaryngology CurrentSince Nov 20, 2012 Accepting new patients
Perkins County Hospital District CurrentSince May 1, 2012 Accepting new patients
Citizens Medical Center Inc CurrentSince Mar 20, 2017 Accepting new patients
Community Hospital Association CurrentSince Sep 25, 2017 Accepting new patients
Chase County Community Hospital Current Accepting new patients
Perkins County Hospital District Current Accepting new patients
North Platte Nebraska Hospital Corporation Current Accepting new patients
Perkins County Hospital District CurrentSince May 1, 2012 Accepting new patients
Brown County Hospital Current Accepting new patients
Community Hospital Association Current Accepting new patients
Citizens Medical Center, Inc Past Accepting new patients
Perkins County Hospital District Past Accepting new patients

Locations

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

913 E Zero St
Ainsworth, NE 69210
Phone (402) 387-1900

945 E Zero St
Ainsworth, NE 69210
Phone (402) 387-2067

900 Lincoln Ave
Grant, NE 69140
Phone (308) 352-7200

600 W 12th St
Imperial, NE 69033
Phone (308) 882-7111

1301 E H St
McCook, NE 69001
Phone (308) 344-2650

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

801 William Ave
North Platte, NE 69101
Phone (308) 532-3330

2601 N Spruce St
Ogallala, NE 69153
Phone (308) 284-3645

2601 N Spruce St
#A
Ogallala, NE 69153
Phone (308) 284-4011

510 N Green St
Valentine, NE 69201
Phone (402) 376-3770

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 & group practices 19

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.

View all 19

Hospital & facility affiliations 6

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

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.