Organization Active NPI

E. L. Fitch MD, Family Medicine Inc.

  • Family Medicine Physician
  • North Olmsted, OH
National Provider Identifier
1679773014
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34049701 Issued in OH
Legal business name
E. L. FITCH MD, FAMILY MEDICINE INC.
Practice address
4859 Dover Center Rd
Suite #10
North Olmsted, OH 44070-3184
Phone
(440) 979-1224
Fax
(440) 979-9730
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Ernestine L Fitch, M.D.
Title
President/Owner
Phone
(440) 979-1224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34049701 OH Primary

Addresses

Primary practice location

4859 Dover Center Rd
Suite #10
North Olmsted, OH 44070-3184

Mailing address

4859 Dover Center Rd
Suite #10
North Olmsted, OH 44070-3184
Phone (440) 979-1224

National Provider Directory

National Provider Directory

Locations

4859 Dover Center Rd
Ste 10
North Olmsted, OH 44070
Phone (440) 734-9400

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1679773014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 DOVER CENTER RD",
            "address_2": "SUITE #10",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703184",
            "telephone_number": "440-979-1224",
            "fax_number": "440-979-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 DOVER CENTER RD",
            "address_2": "SUITE #10",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703184",
            "telephone_number": "440-979-1224",
            "fax_number": "440-979-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. L. FITCH MD, FAMILY MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "ERNESTINE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "440-979-1224",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34049701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.