DR. KEITH L FISHER (NPI# 1033197074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033197074 |
| Entity Type | Individual |
| Full Name | DR. KEITH L FISHER |
| Credential | MD |
| Practice Address |
1114 West Madison Ave Athens TN 37371 |
| Mailing Address |
1602 Hatcher Lane Columbia TN 38401 |
| Practice Telephone | 9314901000 |
| Practice Fax Number | 9313881548 |
| Mailing Telephone | 9313880777 |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2015-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
27296 | TN | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
ME73302 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3403473 | 05 | |
| FL | 252960200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497891485 | Keith Paul Fisher | Dentist | 1001 S Market Street, Mechanicsburg, PA 17055-4748 | 2007-01-29 |
| 1265423107 | Keith Denton Fisher | Ophthalmology | 909 9th Avenue, #404, Fort Worth, TX 76104-3918 | 2005-10-31 |
| 1740367101 | Keith S. Fisher | Dentist | 30 Central Park S, Suite 5c, New York, NY 10019-1628 | 2006-11-01 |
| 1124073929 | Keith C. Fisher | Physical Therapist | 1212 Memorial Dr, Suite 1, Manitowoc, WI 54220-2247 | 2006-05-23 |
| 1609866276 | Keith A Fisher | Psychiatry & Neurology | 11124 Wurzbach Rd, Ste 206, San Antonio, TX 78230-2438 | 2005-10-25 |
| Street Address |
1114 WEST MADISON AVE |
| City | ATHENS |
| State | TN |
| Zip Code | 37371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891935854 | Janie Gale Holder | Registered Nurse | 393 Showbarn Rd., Athens, TN 37371 | 2009-03-03 |
| 1508071093 | Janice Hughes Crabtree | Registered Nurse | 393 County Road 594, Athens, TN 37371 | 2007-05-10 |
| 1407060197 | Clara Dianne Young | Registered Nurse | Mcminn County Health Department, 393 County Road 554, Athens, TN 37371 | 2007-05-10 |
| 1356418040 | Mary Rose Hilchey | Counselor | 123 Washington Ave, Restoration Counseling, Athens, TN 37371 | 2006-11-29 |
| 1669414264 | Southeastern Emergency Services P C | Emergency Medicine | 1114 W Madison Ave, Athens, TN 37371 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
| 1386244242 | Athens Home Care Solutions LLC | Home Health Aide | 215 W Burr Oak, Athens, MI 49011-9731 | 2020-10-29 |
| 1619576485 | Angels Mobile Phlebotomy Services LLC | Technician, Pathology | 185 Kirby Ln, Athens, GA 30606-1683 | 2020-10-22 |
| 1336748219 | Athens Eye Consultants LLC | Ophthalmology | 650 Oglethorpe Ave Ste 5, Athens, GA 30606-2216 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1861091282 | Wild & Free Occupational Therapy, LLC | Occupational Therapist | 20582 Harris Rd, Athens, AL 35614-4500 | 2020-10-19 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
| 1063010189 | Soms Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 1061 Dowdy Rd Ste 201, Athens, GA 30606-5700 | 2020-10-12 |
| Find all providers in ATHENS | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295024099 | Jacqueline Ann Torell | Pathology | 134 Rosedale, Athens, TX 75751-3625 | 2011-04-01 |
| 1922088731 | James R Ogburn Jr. | Pathology | 134 Rosedale Dr, Athens, TX 75751-3625 | 2006-01-18 |
| 1164401287 | Robert Andrew Bradley | Pathology | 235 S Church St, Athens, GA 30605-1054 | 2006-01-17 |
| 1144214156 | Kenneth Rand Lamm | Pathology | 1114 W Madison Ave, Athens, TN 37303-4150 | 2005-09-06 |
| 1386039832 | Elliott Boyd Burdette | Pathology | 1199 Prince Ave, Athens, GA 30606-2797 | 2015-04-01 |
| 1568730513 | Lab Direct, LLC | Pathology | 134 Rosedale, Athens, TX 75751-3625 | 2011-12-06 |
| 1942437116 | East Texas Pathology Laboratories | Pathology | 134 Rosedale Dr, Athens, TX 75751-3625 | 2009-06-16 |
| 1669637773 | Hardman Pathology Adx, LLC | Pathology | 110 Trinity Pl, Athens, GA 30607-2118 | 2008-07-29 |
| 1891984910 | Santi Kommareddi | Pathology | 75 Hospital Dr, Ste 370, Athens, OH 45701-2857 | 2007-10-15 |
| 1154445419 | Eastern Texas Pathology Laboratories, LLC | Pathology | 134 Rosedale Dr, Athens, TX 75751-3625 | 2007-03-19 |
| Find all providers in ATHENS | ||||
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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.