Michael A Fitzpatrick, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24445 Issued in KY

Practice address

2407 Ring Rd
Ste 104
Elizabethtown, KY 42701-5938

Phone

(270) 766-1902

Fax

(270) 737-7654

NPI assigned

Nov 22, 2005

Last updated

Oct 13, 2017By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• M a Fitzpatrick MD, PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1891070835
  NPD (past) Authorized official
• Xavier Healthcare, PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1962433680
  NPD (past) Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1801879044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 N DIXIE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "42701",
            "telephone_number": "270-765-4361",
            "fax_number": "270-737-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 RING RD",
            "address_2": "STE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015938",
            "telephone_number": "270-766-1902",
            "fax_number": "270-737-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "24445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64244452",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fisher & Hinnant Prosthetics and Orthotics, Inc.
• Jessica F Fisher, PTA
• Kelci Fisher
• Cathreine Renee Fisk, LMT
• Krista Danielle Fitzgerald, APRN
• Esya Flores
• Nina June Flores, APRN
• Jay Flynn, M.D.
• Melissa Bland Flynn, MD
• Amanda L Followell

• Family Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.