Provider Demographics
NPI:1194719708
Name:FITTS, WILLIAM E (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:E
Last Name:FITTS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94220 4TH ST
Mailing Address - Street 2:
Mailing Address - City:GOLD BEACH
Mailing Address - State:OR
Mailing Address - Zip Code:97444-7756
Mailing Address - Country:US
Mailing Address - Phone:541-247-3000
Mailing Address - Fax:541-247-3101
Practice Address - Street 1:94244 4TH STREET
Practice Address - Street 2:
Practice Address - City:GOLD BEACH
Practice Address - State:OR
Practice Address - Zip Code:97444-7756
Practice Address - Country:US
Practice Address - Phone:541-247-3000
Practice Address - Fax:541-247-3101
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2015-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD125973207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1083656367OtherCURRY MEDICAL CENTER NPI
OR119263OtherCURRY GENERAL HOSPITAL MEDICAID
OR930937095-97415-D008OtherTRICARE / TRIWEST
OR0000ZGBDGOtherCURRY GENERAL HOSPITAL PART B
1487696985OtherCURRY MEDICAL CENTER MEDICARE PART A
OR500611991Medicaid
OR1811939093OtherCURRY FAMILY MEDICAL NPI
1235145624OtherCURRY WOMENS CLINIC NPI
OR381322OtherCURRY GENERAL HOSPITAL PART A
R0000ZGBDGOtherCURRY WOMENS CLINIC MEDICARE PART B
R0000ZGBDGOtherCURRY MEDICAL CENTER MEDICARE PART B
OR1192363OtherCURRY MEDICAL CENTER MEDICAID
OH383990OtherCURRY FAMILY MEDICAL MEDICARE
OR520513001OtherBCBS
OR011325OtherCURRY WOMENS CLINIC MEDICAID
1487696985OtherCURRY GENERAL HOSPITAL NPI
R0000ZGBDGOtherCURRY MEDICAL CENTER MEDICARE PART B
ORR149228Medicare PIN
OR381322OtherCURRY GENERAL HOSPITAL PART A