Active NPI
Thomas Fitzpatrick, M.D.
- Orthopaedic Surgery Physician
- Jacksonville, TX
National Provider Identifier
1760492565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- P2987
- Practice address
- 2026 S Jackson St
Jacksonville, TX 75766-5822 - Phone
- (903) 541-4500
- NPI assigned
- Aug 8, 2006
- Last updated
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 054715 | GA | |
| Orthopaedic Surgery Physician | 207X00000X | P2987 | TX | Primary |
Addresses
Primary practice location
2026 S Jackson St
Jacksonville, TX 75766-5822
Mailing address
PO Box 847522
Dallas, TX 75284-7522
Phone (903) 531-5000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 751976930005 | Other | TX | TRICARE |
| 8DF184 | Other | TX | BCBS |
| 302573601 | Medicaid | TX | |
| P01073140 | Other | TX | RAIL ROAD |
| 495265666A | Medicaid | GA |
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 054715 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mainehealth | Past | Accepting new patients | |
| Thomas Fitzpatrick, MD, PC | Orthopaedic Surgery | Past | Accepting new patients |
| Athens Limestone Health Services, LLC | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Athens Limestone Orthopedic Center
- Orthopaedic Surgery Physician
- Athens, AL
- NPI 1922245778
-
- General Acute Care Hospital
- Farmington, ME
- NPI 1558305847
-
- Orthopaedic Surgery Physician
- Moultrie, GA
- NPI 1750421855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1760492565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847522",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847522",
"telephone_number": "903-531-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2026 S JACKSON ST",
"city": "JACKSONVILLE",
"state": "TX",
"postal_code": "757665822",
"telephone_number": "903-541-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "054715",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "P2987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "751976930005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8DF184",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "302573601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD",
"identifier": "P01073140",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495265666A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, TX
- Family First Urgent Care PLLC
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- Meagan Nicole Fancher, DDS
- Donna Lee Faulkner, LPC
- Lynsie Ann Fisher, LPC
- Larry Lofton Folden, D.D.S.
- Ryan Dean Ford, M.D.
- Gardendale HH Opco LLC (Gardendale Healthcare Residence)
- Gardendale Rehabilitation & Nursing Center, L.P. (Gardendale Health & Rehabilitation Center)
- Gardendale SNF LLC (Gardendale Rehabilitation & Nursing Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.