Thomas M Fitzpatrick MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD16856 Issued in OR

Legal business name

THOMAS M FITZPATRICK MD LLC

Doing business as

Mountain Sage Medical

Practice address

229 N Egan Ave
Burns, OR 97720-1741

Phone

(541) 573-7988

Fax

(888) 371-1993

NPI assigned

May 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Fitzpatrick, MD

Title

Sole Member

Phone

(541) 573-7988

Specialties & licenses 1

Addresses

Other names 1

• Mountain Sage Medical Doing business as

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1942529565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201741",
            "telephone_number": "541-573-7988",
            "fax_number": "888-371-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N EGAN AVE",
            "city": "BURNS",
            "state": "OR",
            "postal_code": "977201741",
            "telephone_number": "541-573-7988",
            "fax_number": "888-371-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M FITZPATRICK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "541-573-7988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD16856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountain Sage Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Beth Temple
• Timothy Edwin Tetzlaff, MD
• Michole Thane, QMHA
• Richard Thein, CRNA
• Chelan Fern Thissell-Armstrong, CRM
• Jaime Dawn Thompson, BS, CADC I, QMHA-R
• Maggie Thompson
• Deanna Dawn Thrall, CHW
• Ashley Tiller, QMHA
• Toni Feist Medical Services LLC

• Family Medicine Physician in Burns, OR
• Providers in Burns, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; 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.