FREDERICK B FITTS MD NPI 1609829613

NPI Information

  • NPI: 1609829613
  • Provider Name: FREDERICK B FITTS, MD
  • Classification: Radiology - 2085B0100X
  • Specialization: Body Imaging
  • Entity Type: Individual
  • Address: 1501 HILAND AVE
    BURLEY, ID
    ZIP 83318
  • Phone: (208) 677-6513

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NPI Details

Frederick B Fitts, MD is a body imaging radiology in Burley, ID. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Frederick B Fitts, MD NPI is 1609829613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1501 HILAND AVE
BURLEY, ID
ZIP 83318-682
Phone: (208) 677-6513

The enumeration date for this NPI number is 5/19/2006 and was last updated on 10/17/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingM6310IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B56919MEDICARE UPINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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