M a Fitzpatrick MD, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24445 Issued in KY

Legal business name

M A FITZPATRICK MD, PLLC

Practice address

2407 Ring Rd
Ste. 104
Elizabethtown, KY 42701-5937

Phone

(270) 766-1902

Fax

(270) 737-7654

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael A Fitzpatrick, M.D.NPI 1801879044

Title

Owner

Phone

(270) 766-1902

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael A Fitzpatrick, MD

  • Family Medicine Physician
  • Elizabethtown, KY
  • NPI 1801879044
  NPD (past) Authorized official

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1891070835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 RING RD",
            "address_2": "STE. 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015937",
            "telephone_number": "270-766-1902",
            "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": "427015937",
            "telephone_number": "270-766-1902",
            "fax_number": "270-737-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M A FITZPATRICK MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-766-1902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "24445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc
• Lisa R Lykins, OTA
• Samantha Jo Lyman
• Jackie Renee Lynch
• Dianne Lyvers
• Tammy Vu Mabry
• Stephanie Brooke Mace, CADC
• Carla A Mackey, LMFT
• Charles Kenny Maffet, M.D.
• Mahendra M Patel MD PSC

• 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 20, 2011; 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.