PHILIP CLARK FITZPATRICK III (NPI# 1588742001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588742001 |
| Entity Type | Individual |
| Full Name | PHILIP CLARK FITZPATRICK III |
| Credential | M.D. |
| Practice Address |
801 William Ave North Platte NE 69101 |
| Mailing Address |
801 William Ave North Platte NE 69101-6556 |
| Practice Telephone | 3085323330 |
| Practice Fax Number | 3085323334 |
| Mailing Telephone | 3085323330 |
| Mailing Fax Number | 3085323334 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 21635 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | BLUE CROSS BLUE SHIELD | 35296 | 01 |
| NE | 47084139713 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E College Dr, Colby, KS 677013799 | 7854627511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770556219 | Philip J. Fitzpatrick | Internal Medicine | 100 Mcgregor St, Manchester, NH 03102-3730 | 2006-02-07 |
| Street Address |
801 WILLIAM AVE |
| City | NORTH PLATTE |
| State | NE |
| Zip Code | 69101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780879676 | Mark Kripal Hearing & Audiology LLC | Hearing Instrument Specialist | 801 William Ave, North Platte, NE 69101-6556 | 2007-09-13 |
| 1801974324 | Elaine Louise Fitzpatrick | Otolaryngology | 801 William Ave, North Platte, NE 69101-6556 | 2006-11-01 |
| 1841378379 | Fitzpatrick Ear, Nose & Throat Clinic, P.C. | Otolaryngology | 801 William Ave, North Platte, NE 69101-6556 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972017523 | Rocky Mountain Holdings, LLC | Ambulance | 5570 E. Lee Bird Drive, Northe Platte, NE 69101 | 2017-11-18 |
| 1396297503 | Karen L Gutherless | Counselor | 401 W Walker Road, North Platte, NE 69101 | 2016-11-04 |
| 1992165898 | Laren Alden Roper Jr. | Occupational Therapist | 1115 S Cottonwood, Great Plains Sports and Therapy Center, North Platte, NE 69101 | 2016-03-04 |
| 1669733085 | Stephanie Lynn Marcy | Anesthesiology | 601 W Leota Street, Anes: Anesthesiology, North Platte, NE 69101 | 2012-06-01 |
| 1033480470 | Wb Counseling LLC | Counselor | 319 E. B St., North Platte, NE 69101 | 2012-01-17 |
| 1306114962 | Amy J Kloess | Occupational Therapist | 8165 North Twin Lakes Rd, North Platte, NE 69101 | 2011-12-09 |
| 1043442312 | Derek Walrod | Dentist | 1225 South Poplar, Suite 500, North Platte, NE 69101 | 2009-08-20 |
| 1033374525 | Millie Erickson | Urology | 611 W. Francis St., Suite 200, North Platte, NE 69101 | 2008-07-23 |
| 1952586331 | West Central District Health Department | Public Health or Welfare | 111 North Dewey Street, North Platte, NE 69101 | 2008-01-04 |
| 1558579698 | Piper Dental Clinic | Dentist | 1919 West A Street, North Platte, NE 69101 | 2007-05-21 |
| Find all providers in zip 69101 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871585281 | Roger J Simpson | Otolaryngology | 106 E C St, North Platte, NE 69101-5411 | 2005-08-22 |
| 1255607891 | Ear, Nose, Throat & Sinus Clinic, LLC | Otolaryngology | 106 E C St, North Platte, NE 69101-5411 | 2012-03-28 |
| 1801974324 | Elaine Louise Fitzpatrick | Otolaryngology | 801 William Ave, North Platte, NE 69101-6556 | 2006-11-01 |
| 1841378379 | Fitzpatrick Ear, Nose & Throat Clinic, P.C. | Otolaryngology | 801 William Ave, North Platte, NE 69101-6556 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1992246656 | Omaha Facial Plastic Surgery PC | Otolaryngology | 17410 Burke St, Ste 200, Omaha, NE 68118-2245 | 2017-03-14 |
| 1710366018 | Brandon Wachal | Otolaryngology | 989250 Nebraska Medical Ctr, Omaha, NE 68198-3250 | 2015-05-20 |
| 1326435215 | Matthew W Miller | Otolaryngology | 981225 University of Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2015-04-19 |
| 1265724058 | Eugene Lee Son | Otolaryngology | Dept of Otolaryngolgy, 981225 Nebraska Medical Center, Omaha, NE 68198-1225 | 2011-05-11 |
| 1902113525 | John W Pflug Md, PC | Otolaryngology | 2114 S 109th St, Omaha, NE 68144-3105 | 2010-09-02 |
| 1922333954 | Donovan Byrne Foote | Otolaryngology | 1107 N Broadwell Ave, Grand Island, NE 68803-3755 | 2009-10-08 |
| 1962606137 | Brynn Elaina Richardson | Otolaryngology | 981225 Nebraska Medical Ctr, Omaha, NE 68198-1225 | 2007-06-12 |
| 1538389366 | William Derek Leight | Otolaryngology | 14040 Boystown Hospital Rd, Boys Town, NE 68010-7521 | 2007-04-26 |
| 1255496766 | Richard Mack Tempero | Otolaryngology | 7205 W Center Rd Ste 103, Omaha, NE 68124-2387 | 2006-12-26 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLATTE |
| Zip Code | 69101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.