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NPI Code Detail

MEDICARE: MR. JAMES E FITZPATRICK MD

MEDICARE: MR. JAMES E FITZPATRICK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician35077754FOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063459246
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES E FITZPATRICK MD
Provider Business Mailing Address
First Line : 3050 MACK RD STE 310
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5376
Country : US
Telephone Number : 513-924-8895
Fax Number : 513-924-8909
Provider Business Practice Location Address
First Line : 3050 MACK RD STE 310
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-5376
Country : US
Telephone Number : 513-924-8895
Fax Number : 513-924-8909
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 05/29/2019

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Directions to “ MR. JAMES E FITZPATRICK MD” Practice Location

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