Organization Active NPI

Xavier Healthcare, PLLC

  • Family Medicine Physician
  • Elizabethtown, KY
National Provider Identifier
1962433680
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
XAVIER HEALTHCARE, PLLC
Practice address
1009 N Dixie
Elizabethtown, KY 42701-2521
Phone
(270) 765-4361
Fax
(270) 769-1535
NPI assigned
Jul 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Authorized official

Name
Michael Fitzpatrick, M.D.NPI 1801879044
Title
Managing Partner
Phone
(270) 765-4361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

1009 N Dixie
Elizabethtown, KY 42701-2521

Mailing address

1009 N Dixie
Elizabethtown, KY 42701-2521
Phone (270) 765-4361

Other identifiers 1

IdentifierTypeStateIssuer
65928731MedicaidKY

National Provider Directory

National Provider Directory

Locations

980 Chambers Blvd
Bardstown, KY 40004
Phone (502) 348-8900

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265587200000",
    "number": "1962433680",
    "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": "427012521",
            "telephone_number": "270-765-4361",
            "fax_number": "270-769-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 N DIXIE",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012521",
            "telephone_number": "270-765-4361",
            "fax_number": "270-769-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XAVIER HEALTHCARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-02-08",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "270-765-4361",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65928731",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.