Basic Information
| Provider Information | |||||||||
| NPI: | 1194719708 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FITTS | ||||||||
| FirstName: | WILLIAM | ||||||||
| MiddleName: | E | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 94220 4TH ST | ||||||||
| Address2: | |||||||||
| City: | GOLD BEACH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974447756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412473000 | ||||||||
| FaxNumber: | 5412473101 | ||||||||
| Practice Location | |||||||||
| Address1: | 94244 4TH STREET | ||||||||
| Address2: | |||||||||
| City: | GOLD BEACH | ||||||||
| State: | OR | ||||||||
| PostalCode: | 974447756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5412473000 | ||||||||
| FaxNumber: | 5412473101 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/09/2005 | ||||||||
| LastUpdateDate: | 08/18/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MD125973 | OR | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 1083656367 | 01 | OR | CURRY MEDICAL CENTER NPI | OTHER | 119263 | 01 | OR | CURRY GENERAL HOSPITAL MEDICAID | OTHER | 930937095-97415-D008 | 01 | OR | TRICARE / TRIWEST | OTHER | 0000ZGBDG | 01 | OR | CURRY GENERAL HOSPITAL PART B | OTHER | 1487696985 | 01 | CURRY MEDICAL CENTER MEDICARE PART A | OTHER | 500611991 | 05 | OR | MEDICAID | 1811939093 | 01 | OR | CURRY FAMILY MEDICAL NPI | OTHER | 1235145624 | 01 | CURRY WOMENS CLINIC NPI | OTHER | 381322 | 01 | OR | CURRY GENERAL HOSPITAL PART A | OTHER | R0000ZGBDG | 01 | CURRY WOMENS CLINIC MEDICARE PART B | OTHER | R0000ZGBDG | 01 | CURRY MEDICAL CENTER MEDICARE PART B | OTHER | 1192363 | 01 | OR | CURRY MEDICAL CENTER MEDICAID | OTHER | 383990 | 01 | OH | CURRY FAMILY MEDICAL MEDICARE | OTHER | 520513001 | 01 | OR | BCBS | OTHER | 011325 | 01 | OR | CURRY WOMENS CLINIC MEDICAID | OTHER | 1487696985 | 01 | CURRY GENERAL HOSPITAL NPI | OTHER |