DR. MICHAEL SCOT FISHMAN (NPI# 1003015553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003015553 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOT FISHMAN |
| Credential | M.D. |
| Practice Address |
19020 33rd Ave W Suite 210 Lynnwood WA 98036-4746 |
| Practice Telephone | 4255631500 |
| Practice Fax Number | 4255631374 |
| Mailing Telephone | 4255631500 |
| Mailing Fax Number | 4255631374 |
| Enumeration Date | 2007-07-15 |
| Last Update Date | 2015-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | MD00029650 | WA | Other Service Providers |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD00029650 | WA | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
MD00029650 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8151136 | 05 | |
| WA | LNI PROVIDER ID | 257475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508892431 | Michael Lee Fishman | Counselor | 5448 Yorktowne Dr, Suite 127, Atlanta, GA 30349-5317 | 2006-06-23 |
| 1558820860 | Michael Fishman | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-03-16 |
| 1437494747 | Michael Alexander Fishman | Psychiatric Residential Treatment Facility | 550 River Rd, Eugene, OR 97404-3212 | 2012-11-28 |
| 1366764763 | Michael Paul Fishman | Podiatrist | 3851 Katella Ave, Suite # 255, Los Alamitos, CA 90720-3377 | 2010-02-26 |
| 1841429156 | Michael Alan Fishman | Anesthesiology | 3401 Brandywine Pkwy, Suite 202, Wilmington, DE 19803-1554 | 2009-07-08 |
| 1205093366 | Michael David Chaim Fishman | Radiology | 55 Fruit St, Massachusetts General Hospital, Dept of Radiology, Boston, MA 02114-2621 | 2008-05-16 |
| 1447454269 | Michael Kalman Fishman | Surgery | 915 Lawn Ave, Suite 203, Sellersville, PA 18960-1551 | 2007-06-14 |
| Street Address |
19020 33RD AVE W SUITE 210 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-4746 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902890700 | Elizabeth W Cotter | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2005-09-07 |
| 1508314386 | Ariel J. Raigrodski, Dmd, Pllc | Clinic/Center | 19020 33rd Ave W, Suite 200, Lynnwood, WA 98036-4746 | 2016-09-21 |
| 1902220866 | Norman P. Goodwin | Dentist | 19020 33rd Ave W, Suite 200, Lynnwood, WA 98036 | 2014-02-13 |
| 1770896235 | Sarah Joy Menashe | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2010-07-26 |
| 1780903773 | Hannu Tapio Huhdanpaa | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2010-05-31 |
| 1376868687 | David Ung Kim | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2010-03-30 |
| 1891922316 | Monica Devi Agarwal | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2009-06-11 |
| 1386888410 | Ronald F. Loch Jr. | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2009-04-20 |
| 1689825135 | Somnath Jagannath Prabhu | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4746 | 2008-10-02 |
| 1508029943 | Brian Nicholas Dontchos | Radiology | 19020 33rd Ave W, Suite 210, Lynnwood, WA 98036-4748 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497318588 | Stephanie Sobrepera | Radiology | Radiology Department Rr 210 1959 Ne Pacific Street, Seattle, WA 98195-3450 | 2019-04-15 |
| 1104236322 | Thomas John Kofler | Radiology | 1301 Willard Ave W, Seattle, WA 98119-3460 | 2014-04-28 |
| 1689991655 | Zachariah Kramer | Radiology | 700 Lincoln Street Suite 100, Longview Radiologists, Kelso, WA 98626 | 2010-04-29 |
| 1235368564 | Lakhwant Singh | Radiology | 2916 Nw Bucklin Hill Rd #381, Silverdale, WA 98383 | 2009-07-08 |
| 1841310323 | Timnit Ghermay | Radiology | 1201 Pacific Ave, Suite 400, Tacoma, WA 98402-4301 | 2007-03-30 |
| 1902870827 | Overlake Imaging Associates PC | Radiology | 1417 116th Ave Ne Ste 212, Bellevue, WA 98004-3821 | 2006-02-15 |
| 1740268325 | Mark D. Papenhausen | Radiology | 3216 Norton Ave, Suite 201, Everett, WA 98201-4290 | 2006-01-04 |
| 1942287859 | Louis I. Juravsky | Radiology | 2412 N 43rd St, Seattle, WA 98103-7644 | 2005-12-30 |
| 1811974652 | Thomas Kieran Curry | Radiology | 1450 5th St Se # 220, Puyallup, WA 98372-4602 | 2005-12-22 |
| 1679193205 | Sound Vascular, P.s. | Radiology | 32014 32nd Ave S, Federal Way, WA 98001-9625 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.