PHILIP FLINT FISHER (NPI# 1013996503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013996503 |
| Entity Type | Individual |
| Full Name | PHILIP FLINT FISHER |
| Credential | DO |
| Practice Address |
804-1/2 Solida Rd. South Point OH 45680 |
| Mailing Address |
3554 Us Rt 60 East Barboursville WV 25504 |
| Practice Telephone | 3047362981 |
| Practice Fax Number | 3047362985 |
| Mailing Telephone | 3047362981 |
| Mailing Fax Number | 3047362985 |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2011-11-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | WV1480 | WV | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
WV1480 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | PTAN | FI0786325 | 01 |
| CIGNA | 7728465001 | 01 | |
| AETNA | 5922061 | 01 | |
| BLUE CROSS BLUE SHIELD | 001706518 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003105743 | Philip Andrew Fisher | Psychologist | 1170 Pearl St, Eugene, OR 97401-3541 | 2011-04-04 |
| 1467649392 | Philip E Fisher | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2007-09-25 |
| 1598890766 | Philip E Fisher | Occupational Therapist | 1525 W Frye Rd, Chandler, AZ 85224-6178 | 2007-02-21 |
| 1851313027 | Philip Ray Fisher | Dentist | 103 Haywood Park Dr, Clyde, NC 28721-4405 | 2006-07-24 |
| 1386628865 | Philip C Fisher IIi | Emergency Medicine | 1 Guthrie Sq, Sayre, PA 18840-1625 | 2005-11-30 |
| Street Address |
804-1/2 SOLIDA RD. |
| City | SOUTH POINT |
| State | OH |
| Zip Code | 45680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021319 | Allison R Nolan Phillips | Nurse Practitioner | 335 Jefferson Ave, South Point, OH 45680 | 2020-07-23 |
| 1275099384 | Jennifer Lynn Ellsworth | Case Manager/Care Coordinator | 178 Private Dr # 19423, South Point, OH 45680 | 2019-02-13 |
| 1639640931 | Kyle Allen Mcknight | Case Manager/Care Coordinator | 178 Private Dr 19423, South Point, OH 45680 | 2018-12-12 |
| 1538639315 | Allyson Faith Fluty | Physical Medicine & Rehabilitation | 335 Jefferson Avenue, South Point, OH 45680 | 2018-12-05 |
| 1205302304 | Marielle Madden | Social Worker | 178 Private Drve 19423, South Point, OH 45680 | 2018-10-17 |
| 1841782018 | Demian Byrne | Counselor | 49 Twsp Rd 365, South Point, OH 45680 | 2018-06-04 |
| 1104317239 | Janie Rose Morris | Case Manager/Care Coordinator | 178 Private Road 29423, South Point, OH 45680 | 2018-05-24 |
| 1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
| 1225230311 | Janet Sue White | Occupational Therapy Assistant | County Road 1, South Point, OH 45680 | 2007-06-01 |
| 1417161290 | Alicia K Wilson | Home Health Aide | 1035 Country Rd 1, Apt 253, South Point, OH 45680 | 2007-05-10 |
| Find all providers in zip 45680 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386287936 | Novus Pain Management - Ohio LLC | Physical Medicine & Rehabilitation | 100 N Main St Ste 350, Chagrin Falls, OH 44022-2773 | 2019-10-25 |
| 1396218558 | Health Intrinsic Technology LLC | Physical Medicine & Rehabilitation | 41 Brookline Ave, Youngstown, OH 44505-2530 | 2019-01-09 |
| 1760884399 | Patrick T Boylan Md Inc | Physical Medicine & Rehabilitation | 9485 Mentor Ave Ste 203, Mentor, OH 44060-8723 | 2014-09-26 |
| 1750513867 | Comprehensive Pain Management & Electrodiagnostics, LLC | Physical Medicine & Rehabilitation | 80 N Portage Path, #ph7, Akron, OH 44303-1144 | 2009-08-23 |
| 1962654731 | James Edgar Lundeen Sr. | Physical Medicine & Rehabilitation | 26 Sandusky St, Plymouth, OH 44865-1113 | 2008-10-10 |
| 1679777528 | Kush Kumar Goyal | Physical Medicine & Rehabilitation | 1730 W 25th St # 2c, Center for Spine Health- Lutheran Hospital, Cleveland, OH 44113-3108 | 2007-06-13 |
| 1841316163 | University Primary Care Practices Inc | Physical Medicine & Rehabilitation | 50 Blaine Ave Ste 2300, Bedford, OH 44146-2709 | 2007-03-21 |
| 1467594986 | Tarulata M Patel | Physical Medicine & Rehabilitation | 50 Normandy Drive Suite #3, Liberty Medical Center, Painesville, OH 44077 | 2007-02-12 |
| 1184766602 | Maheshkumar P. Patel | Physical Medicine & Rehabilitation | 26250 Euclid Avenue, Suite 625, Euclid, OH 44132 | 2007-02-12 |
| 1205985967 | Southwest General Medical Group, Inc | Physical Medicine & Rehabilitation | 18780 Bagley Rd # 100, Cleveland, OH 44130-3304 | 2007-01-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH POINT |
| Zip Code | 45680 |
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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.