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1194719708

NPI Code Detail

MEDICARE: WILLIAM E FITTS MD

MEDICARE: WILLIAM E FITTS 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
1	207V00000X	Obstetrics & Gynecology Physician	MD125973	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
5	1487696985	OTHER		CURRY MEDICAL CENTER MEDICARE PART A
10	R0000ZGBDG	OTHER		CURRY WOMENS CLINIC MEDICARE PART B
11	R0000ZGBDG	OTHER		CURRY MEDICAL CENTER MEDICARE PART B
13	383990	OTHER	OH	CURRY FAMILY MEDICAL MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1083656367	OTHER	OR	CURRY MEDICAL CENTER NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	930937095-97415-D008	OTHER	OR	TRICARE / TRIWEST
4	0000ZGBDG	OTHER	OR	CURRY GENERAL HOSPITAL PART B
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	1811939093	OTHER	OR	CURRY FAMILY MEDICAL NPI
8	1235145624	OTHER		CURRY WOMENS CLINIC NPI
9	381322	OTHER	OR	CURRY GENERAL HOSPITAL PART A
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	520513001	OTHER	OR	BCBS
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	1487696985	OTHER		CURRY GENERAL HOSPITAL NPI

General Provider Information

NPI Number	:	1194719708
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM E FITTS MD

Provider Business Mailing Address
First Line	:	94220 4TH ST
Second Line	:
City	:	GOLD BEACH
State	:	OR
Zip	:	97444-7756
Country	:	US
Telephone Number	:	541-247-3000
Fax Number	:	541-247-3101

Provider Business Practice Location Address
First Line	:	94244 4TH STREET
Second Line	:
City	:	GOLD BEACH
State	:	OR
Zip	:	97444-7756
Country	:	US
Telephone Number	:	541-247-3000
Fax Number	:	541-247-3101

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2005
Last Update Date	:	08/18/2015

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Directions to “ WILLIAM E FITTS MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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