MOUNTAIN SAGE MEDICAL
NPI 1942529565
Family Medicine in Burns, OR

Q: What is Thomas M Fitzpatrick MD LLC's NPI number?

The NPI number for Thomas M Fitzpatrick MD LLC is 1942529565. It was assigned to this organization in the NPPES registry on May 21, 2010. The provider is doing business as Mountain Sage Medical.

Q: What is Thomas M Fitzpatrick MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 21, 2010CLIA 38D2008777 · Waiver

229 N EGAN AVE, BURNS, OR 97720(541) 573-7988(888) 371-1993 Get Directions Write a Review

NPPES record last updated: May 21, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mountain Sage Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN SAGE MEDICAL (NPI 1942529565) is a healthcare organization registered as a family medicine in Burns, Oregon and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through June 16, 2028 and lists Thomas Fitzpatrick, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1942529565

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTHOMAS M FITZPATRICK MD LLC

Location Address229 N EGAN AVEBurns, OR 97720-1741

Mailing Address229 N Egan AveBurns, OR 97720-1741 · (541) 573-7988 · Fax (888) 371-1993

Phone(541) 573-7988

Fax(888) 371-1993

Organization SubpartNo

Authorized OfficialThomas FitzpatrickSole Member · (541) 573-7988

Enumeration DateMay 21, 2010

✔ NPI 1942529565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in OR · MD16856

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

229 N EGAN AVE, Burns, OR 97720

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Other Names 1

Doing Business AsMountain Sage Medical

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2008777

Mountain Sage Medical · Burns, OR

Active · expires Jun 16, 2028

CLIA Number38D2008777

Laboratory TypePhysician Office

Certificate Effective DateJune 17, 2026

Certificate Expiration DateJune 16, 2028

Laboratory DirectorThomas M Fitzpatrick MD

Laboratory Phone(541) 573-7988

Laboratory LocationMountain Sage Medical42 S Broadway, Burns, OR 97720

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TONI FEIST MEDICAL SERVICES LLC

Nursing Facility/Intermediate Care Facility