KELLY FISK


Address: 329 N Salina St, Syracuse, NY 13203-1755
Phone: 3154711564

KELLY FISK (NPI# 1043720956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043720956
Entity Type Individual
Full Name KELLY FISK
Practice Address 329 N Salina St
Syracuse
NY 13203-1755
Mailing Address 108 Terrace Cir
Syracuse
NY 13214-1232
Practice Telephone 3154711564
Enumeration Date 2017-10-05
Last Update Date 2017-10-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
021455 NY Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY FISK

NPI Name Taxonomy Address Enumeration
1306128491 Kelly Ann Fisk Pharmacist 398 Anderson Ferry Rd, Cincinnati, OH 45238-5695 2011-09-14

Office Location

Street Address 329 N SALINA ST
City SYRACUSE
State NY
Zip Code 13203-1755

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225261894 Elizabeth M Cappelletti-walker Physician Assistant 329 N Salina St, Syracuse, NY 13203-1755 2009-08-31
1952948101 Helio Health, Inc. Case Management 329 N Salina St, Syracuse, NY 13203-1755 2019-12-06
1669032850 Sara Elizabeth Parnell Nurse Practitioner 329 N Salina St, Syracuse, NY 13203-1755 2019-06-19
1265930499 Kelly Monaghan Counselor 329 N Salina St, Syracuse, NY 13203-1755 2018-01-23
1144602905 Dean Stark Nurse Practitioner 329 N Salina St, Syracuse, NY 13203-1755 2015-06-29
1942535034 Jaclyn Burkett Nurse Practitioner 329 N Salina St, Syracuse, NY 13203-1755 2009-10-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659998193 Allison Elizabeth Mills Social Worker 1045 James St., Syracuse, NY 13203 2020-07-01
1467004333 Humanitarian Organization for Multicultural Experiences, Inc. Psychologist 831 James Street, Syracuse, NY 13203 2019-07-11
1215405287 Wellness Therapy Services Lcsw, Pllc Counselor Wellness Therapy Services Lcsw, Pllc, 404 Oak St. #200, Syracuse, NY 13203 2018-11-08
1962904912 Michael Musante Developmental Therapist 1045 James Streret, Syracuse, NY 13203 2018-03-06
1811410236 Lindsey Deborah Sanborn Nurse Practitioner 301 Prospect Avenue St. Josephs's Hospital Health Cente, Syracuse, NY 13203 2017-07-18
1497205975 Phuong Pham Counselor 329 North Salina Street, Syracuse, NY 13203 2016-10-10
1942754015 Shelly Lynn Peters Nurse Practitioner 329 N. Salina Street, Helio Health, Syracuse, NY 13203 2016-08-06
1932574217 Kaleigh Marie Andino Audiologist 1001 James Street, Syracuse, NY 13203 2015-12-11
1376889493 Brenda S Hartman-souder Social Worker 526 Oak St., Syracuse, NY 13203 2012-12-18
1386914711 Steven W Dimarzo Counselor 404 Oak St Ste 320, Syracuse, NY 13203 2012-01-02
Find all providers in zip 13203

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487252581 North Shore Medical Group Pllc Physician Assistant 311 Skyview Ter, Syracuse, NY 13219-2835 2020-10-12
1760043574 Colin Michael King Physician Assistant 135 Somerset Rd, Syracuse, NY 13224-1961 2019-06-24
1346657251 Jessica Lynn Demauro Physician Assistant 111 Waverly Avenue, Syracuse, NY 13244 2014-07-14
1982664876 Vincent M. Gemelli Physician Assistant 1304 Buckley Road, Suite 302, Syracuse, NY 13212-4318 2006-03-24
1245210129 Benjamin I Connor Physician Assistant 2700 Court St, Syracuse, NY 13208-3295 2006-01-18
1326020033 Michelle Margaret Ederer Physician Assistant 3504 W Genesee St, Syracuse, NY 13219-2008 2005-11-17
1689672230 Robert D Kirk Physician Assistant 1000 E Genesee St, Suite 300, Syracuse, NY 13210-1892 2005-07-08
1992702278 Michael P Sharak Physician Assistant 90 Presidential Plz, Firm B, Syracuse, NY 13202-2240 2005-07-01
1568022853 Chelsea Clareann Yager Physician Assistant 301 Prospect Ave, Syracuse, NY 13203-1807 2019-06-18
1104308253 Diana Maria Ramirez Physician Assistant 750 E Adams St, Syracuse, NY 13210-2306 2018-09-05
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13203

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Dataset Information

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.

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