Kenneth J Fitzpatrick (NPI# 1669407748, PAC ID# 1759318819) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1669407748 |
| PAC ID by PECOS | 1759318819 |
| Professional Enrollment ID | I20070917000126 |
| Full Name | Kenneth J Fitzpatrick |
| Address |
640 Clovelly Ln Devon PA 19333-1847 |
| Gender | M |
| Medical School | STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | UROLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390179 | CHESTER COUNTY HOSPITAL |
| 390237 | REGIONAL HOSPITAL OF SCRANTON |
| 390119 | MOSES TAYLOR HOSPITAL |
| 390001 | GEISINGER-COMMUNITY MEDICAL CENTER |
| 390076 | BRANDYWINE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 640 Clovelly Ln, Devon, PA 19333-1847 | ||
| 300 Lackawanna Ave, Unit 200, Scranton, PA 18503-2001 | 5703427864 | DELTA MEDIX PC |
| 5 Morgan Hwy, Suite 7, Scranton, PA 18508-2641 | 5703427864 | DELTA MEDIX PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
640 CLOVELLY LN |
| City | DEVON |
| State | PA |
| Zip | 19333-1847 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dolores R Marchesano | Clinical Psychologist | 516 Old Forge Xing, Devon, PA 19333-1125 | |
| Rachel M. Wiley | Occupational Therapy | Rachel Wiley Therapy LLC | 79 Grove Ave, Devon, PA 19333-1313 |
| Pari Kumar | Occupational Therapy | Rachel Wiley Therapy LLC | 79 Grove Ave, Devon, PA 19333-1313 |
| Vincent James Distefano | Orthopedic Surgery | Vincent Distefano, Md PC | 860 Lancaster Ave, Devon, PA 19333-1316 |
| Carrie Lynn Sensenich | Clinical Social Worker | 45 Berkley Rd, Suite 204, Devon, PA 19333-1381 | |
| Michelle R Goodsir | Chiropractic | 45 Berkley Rd, Devon, PA 19333-1397 | |
| Kathleen Kent Lawlor | Family Medicine | Devon Family Practice LLP | 139 Berkeley Rd, Devon, PA 19333-1544 |
| Beck B Soderberg | Family Medicine | Devon Family Practice LLP | 139 Berkeley Rd, Devon, PA 19333-1544 |
| Maria Melli | Family Medicine | Devon Family Practice LLP | 139 Berkeley Rd, Devon, PA 19333-1544 |
| Robert J Lawlor | Family Medicine | Devon Family Practice LLP | 139 Berkeley Rd, Devon, PA 19333-1544 |
| Find all physicians in zip 19333 | |||
| City | DEVON |
| Zip Code | 19333 |
| Specialty | UROLOGY |
| City + Specialty | DEVON + UROLOGY |
Please comment or provide details below to improve the information on Kenneth J Fitzpatrick.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.