Active NPI
Leo J Fitzpatrick, CRNA
- Certified Registered Nurse Anesthetist
- Eugene, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 201801101CRNA
- Practice address
- 920 Country Club Rd Ste 220B
Eugene, OR 97401-6090 - Phone
- (541) 342-5012
- NPI assigned
- Jun 2, 2006
- Last updated
- May 6, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 201801101CRNA | OR | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | RN631023 | PA | |
| Certified Registered Nurse Anesthetist | 367500000X | 209-05581 | IL |
Addresses
Primary practice location
920 Country Club Rd Ste 220B
Eugene, OR 97401-6090
Mailing address
25357 High Pass Rd
Junction City, OR 97448-9387
Phone (570) 932-1814
Other practice location 1
700 High St
Williamsport, PA 17701-3198
Phone (570) 321-2385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 Harlow Rd
Suite 110
Springfield, OR 97477-7125
Phone (541) 726-8882
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-05581 | IL | MD | Certified Registered Nurse Anesthetist |
| 201801101CRNA | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North American Partners in Anesthesia Maryland LLC | Current | Accepting new patients | |
| Pacific Surgery Center LLC | Current | Accepting new patients | |
| Oregon Eye Surgery Center, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Oregon Eye Surgery Center, Inc. | Current | Accepting new patients | |
| Springfield Or Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates Northwest LLC | Current | Accepting new patients | |
| Clinical Partners PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Blue Ridge Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Loudoun Anesthesia Associates | Past | Accepting new patients | |
| Anderson County Anesthesia Associates, PA | Past | Accepting new patients | |
| Meridian Anesthesia Practice, L.L.C | Past | Accepting new patients |
Locations
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1125 Darlene Ln
Eugene, OR 97401
Phone (541) 683-5488
1125 Darlene Ln
Ste 201
Eugene, OR 97401
Phone (541) 342-1845
1550 Oak St
Ste 2
Eugene, OR 97401
Phone (503) 484-4984
1550 Oak St
Ste 8
Eugene, OR 97401
Phone (541) 484-4988
74B Centennial Loop
Ste 200
Eugene, OR 97401
Phone (541) 393-0925
920 Country Club Rd
Ste 220B
Eugene, OR 97401
Phone (541) 242-4162
120 NW 14th Ave
Ste 200
Portland, OR 97209
Phone (503) 771-1883
1007 Harlow Rd
Ste 110
Springfield, OR 97477
Phone (541) 726-8882
Organizations & group practices 11
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 Springfield Or Anesthesia
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-
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- NPI 1316932122
Nurse Anesthetist, Certified Registered
-
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- NPI 1225042575
-
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- NPI 1093707879
-
- Ambulatory Surgical Clinic/Center
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- NPI 1437320017
-
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- Anesthesiology Physician
- Potomac Falls, VA
- NPI 1629017645
-
- Specialist
- Olney, MD
- NPI 1942248653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1942248125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25357 HIGH PASS RD",
"city": "JUNCTION CITY",
"state": "OR",
"postal_code": "974489387",
"telephone_number": "570-932-1814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 COUNTRY CLUB RD STE 220B",
"city": "EUGENE",
"state": "OR",
"postal_code": "974016090",
"telephone_number": "541-342-5012"
}
],
"practiceLocations": [
{
"address_1": "700 High St",
"address_purpose": "LOCATION",
"city": "Williamsport",
"state": "PA",
"postal_code": "177013198",
"country_code": "US",
"telephone_number": "570-321-2385",
"fax_number": "570-321-2479",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZPATRICK",
"first_name": "LEO",
"middle_name": "J",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "201801101CRNA",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN631023",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209-05581",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
- James F Fitzgibbons, MD
- John Thomas Fitzharris, M.D.
- Daniel Fitzpatrick, MD
- Dena Fitzpatrick
- Kelly Marie Fitzpatrick, ND
- Five Bodies Collective LLC (Five Bodies Collective)
- Five Star Rehabilitation and Wellness Services, LLC (Ageility Physical Therapy Solutions at Waterford Grand)
- Fjord Counseling LLC (Fjord PRIDE)
- Fjord Counseling LLC
- Christine Marie Flaherty, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.