MR. GREGORY D FISK (NPI# 1164409637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164409637 |
| Entity Type | Individual |
| Full Name | MR. GREGORY D FISK |
| Credential | PAC |
| Practice Address |
529 Jasmine St Omak WA 98841-9589 |
| Practice Telephone | 5098261600 |
| Practice Fax Number | 5098263633 |
| Mailing Telephone | 5098261600 |
| Mailing Fax Number | 5098263633 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2016-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA60149531 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & Z | 202201 | 01 |
| WA | 8439796 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| Street Address |
529 JASMINE ST |
| City | OMAK |
| State | WA |
| Zip Code | 98841-9589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162854 | James Ivan Maeda | Family Medicine | 529 Jasmine St, Omak, WA 98841-9589 | 2005-05-31 |
| 1194386599 | Leslie Hite | Nurse Practitioner | 529 Jasmine St, Omak, WA 98841-9589 | 2019-06-26 |
| 1407264468 | Jules Sleiman | Family Medicine | 529 Jasmine St, Omak, WA 98841 | 2014-07-22 |
| 1639452618 | Robert Johansen | Physician Assistant | 529 Jasmine St, Omak, WA 98841-9589 | 2011-09-26 |
| 1497958805 | Joshua G Schkrohowsky | Orthopaedic Surgery | 529 Jasmine St, Omak, WA 98841-9589 | 2007-06-06 |
| 1205981107 | Andrew C Swartsel | Registered Nurse | 529 Jasmine St, Omak, WA 98841 | 2007-01-24 |
| 1538278213 | Anton Stuart Mccourtie | Surgery | 529 Jasmine St, Omak, WA 98841-9589 | 2006-08-29 |
| 1902826647 | Terri L Johnson | Nurse Practitioner | 529 Jasmine St, Omak, WA 98841-9589 | 2006-07-19 |
| 1790714210 | David A Bradford | Obstetrics & Gynecology | 529 Jasmine St, Omak, WA 98841-9589 | 2006-06-30 |
| 1275560781 | Miranda Mcintyre Raiche | Family Medicine | 529 Jasmine St, Omak, WA 98841-9589 | 2006-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093210908 | Kellie Davies | Registered Nurse | 34 Valley View Dr, Omak, WA 98841 | 2018-03-24 |
| 1356860399 | In-home Care of Central Washington | In Home Supportive Care | 130 N. Main St, Ste 2, Omak, WA 98841 | 2017-09-11 |
| 1538615158 | J.r. Craig Webster D.d.s. | Preferred Provider Organization | 204 West 1st. Street, Omak, WA 98841 | 2016-09-01 |
| 1346638855 | Katie Mae Sommers | Counselor | 1007 Koala Dr, Omak, WA 98841 | 2015-01-06 |
| 1659702157 | Omak Audiology Center, LLC | Audiologist-Hearing Aid Fitter | 506 Riverside Drive, # B, Omak, WA 98841 | 2013-12-09 |
| 1265878417 | Stephen Cavender | Counselor | 1007 Koala Dr., Omak, WA 98841 | 2013-05-15 |
| 1467793497 | Kenari Breshem | Massage Therapist | 25 Ash St, Omak, WA 98841 | 2013-03-15 |
| 1710282645 | Jodie Dawn Field | Counselor | 17 N. Ash, Omak, WA 98841 | 2011-01-25 |
| 1720391659 | Providence Health & Services | Internal Medicine | 629 Jasmine St, Omak, WA 98841 | 2010-07-20 |
| 1871826453 | Stephanie Dawn Swezey | Specialist | 670 Riverside Drive, Omak, WA 98841 | 2009-09-14 |
| Find all providers in zip 98841 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235244096 | Kerry L Mayhew | Physician Assistant | 1007 Koala Ave, Omak, WA 98841-9247 | 2006-08-20 |
| 1396745626 | Shellie Ann Rabidou | Physician Assistant | 916 Koala Dr, Omak, WA 98841-9759 | 2005-07-28 |
| 1407382930 | Lisa M Yusi | Physician Assistant | 916 Koala Dr, Omak, WA 98841-9759 | 2017-05-03 |
| 1346623501 | Ross Brown | Physician Assistant | 916 Koala Ave, Omak, WA 98841-9576 | 2015-07-07 |
| 1639452618 | Robert Johansen | Physician Assistant | 529 Jasmine St, Omak, WA 98841-9589 | 2011-09-26 |
| 1083997506 | Christine Yvonne Bentley | Physician Assistant | 916 Koala Ave, Omak, WA 98841-9576 | 2011-09-21 |
| 1891971099 | Nancy Espelin | Physician Assistant | 1003 Koala Ave, Omak, WA 98841-9247 | 2008-01-17 |
| 1679761340 | Deborah A Fisher | Physician Assistant | 916 Koala Ave, Omak, WA 98841-9576 | 2007-10-09 |
| 1760448294 | Richard D Stahl | Physician Assistant | 916 Koala Ave, Omak, WA 98841-9576 | 2006-04-24 |
| 1134117260 | Christie Rose Bruno | Physician Assistant | 916 Koala Ave, Omak, WA 98841-9576 | 2005-10-12 |
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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.