Individual provider Active NPI

David Keith Fitzhugh, PHD, AT, PARAMEDIC

  • Athletic Trainer
  • Hays, KS
National Provider Identifier
1679536635
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
24-00041 Issued in KS
Practice address
600 Park St
Cunningham Hall 139
Hays, KS 67601-4009
Phone
(785) 628-4354
Fax
(785) 628-4126
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X 041037 KS
Athletic Trainer 2255A2300X 24-00041 KS Primary

Addresses

Primary practice location

600 Park St
Cunningham Hall 139
Hays, KS 67601-4009

Mailing address

600 Park St
Cunningham Hall 139
Hays, KS 67601-4009
Phone (785) 628-4354

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
041037KSMDParamedic
24-00041KSMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424217600000",
    "number": "1679536635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PARK ST",
            "address_2": "CUNNINGHAM HALL 139",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014009",
            "telephone_number": "785-628-4354",
            "fax_number": "785-628-4126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PARK ST",
            "address_2": "CUNNINGHAM HALL 139",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676014009",
            "telephone_number": "785-628-4354",
            "fax_number": "785-628-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZHUGH",
        "first_name": "DAVID",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHD, AT, PARAMEDIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2015-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "KS",
            "license": "041037",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KS",
            "license": "24-00041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hays, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.