Active NPI
Patrick Fitzpatrick, D.O.
- Otolaryngology/Facial Plastic Surgery Physician
- Littleton, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology/Facial Plastic Surgery Physician
- License
- 14868
- Practice address
- 580 St. Jonsbury Rd.
Littleton, NH 03561 - Phone
- (603) 444-2450
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 19, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 14868 | NH | Primary |
| Allergy & Immunology Physician | 207K00000X | 14868 | NH |
Addresses
Primary practice location
580 St. Jonsbury Rd.
Littleton, NH 03561
Mailing address
PO Box 160
Patient Financial Services
Littleton, NH 03561
Phone (603) 259-7627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30228266 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 Saint Johnsbury Rd
Littleton, NH 03561-3442
Phone (603) 444-9000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 75 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Current | Accepting new patients | |
| Littleton Hospital Association | Past | Accepting new patients |
Locations
580 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-0385
580 Saint Johnsbury Rd
Ste H
Littleton, NH 03561
Phone (603) 444-2450
600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Littleton Regional Healthcare | Hospital | Other | Jan 1, 2017 |
| Littleton Regional Healthcare | Hospital | Corporate Director | Jan 1, 2017 |
| North Country Primary Care | Rural health clinic | Other | Jan 1, 2017 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Littleton Regional Healthcare
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
Other
-
dba Littleton Regional Healthcare
- Medicare Defined Swing Bed Hospital Unit
- Littleton, NH
- NPI 1679642482
Corporate Director
-
dba North Country Primary Care RHC
- Rural Health Clinic/Center
- Littleton, NH
- NPI 1811944523
Other
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 Littleton Regional Healthcare
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
-
dba LRH DME
- Durable Medical Equipment & Medical Supplies
- Littleton, NH
- NPI 1174398846
-
dba North Country Primary Care RHC
- Rural Health Clinic/Center
- Littleton, NH
- NPI 1811944523
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Littleton Regional Healthcare
- Critical Access Hospital
- Littleton, NH
- NPI 1144223702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1801917216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 160",
"address_2": "PATIENT FINANCIAL SERVICES",
"city": "LITTLETON",
"state": "NH",
"postal_code": "03561",
"telephone_number": "603-259-7627",
"fax_number": "603-259-7561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 ST. JONSBURY RD.",
"city": "LITTLETON",
"state": "NH",
"postal_code": "03561",
"telephone_number": "603-444-2450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "PATRICK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "NH",
"license": "14868",
"primary": true
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NH",
"license": "14868",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30228266",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Littleton, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.