MICHAEL J DISHER


Address: 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096
Phone: 2603875820

MICHAEL J DISHER (NPI# 1205828985) 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) 1205828985
Entity Type Individual
Full Name MICHAEL J DISHER
Credential MD
Practice Address 9604 Coldwater Rd Ste 101
Fort Wayne
IN 46825-2096
Practice Telephone 2603875820
Practice Fax Number 8558287823
Mailing Telephone 2603875820
Mailing Fax Number 8558287823
Enumeration Date 2005-08-18
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Y00000X Otolaryngology 35 078705 OH Allopathic & Osteopathic Physicians
Y 207Y00000X Otolaryngology 01044624A IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OH 0232297 05
IN 200091970 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
6301 University Commons, Suite 306, South Bend, IN 466351571 2603875820 8558287823
6301 University Commons Ste 360, South Bend, IN 466353500 2603875820 8558287823

Office Location

Street Address 9604 COLDWATER RD STE 101
City FORT WAYNE
State IN
Zip Code 46825-2096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780215525 Brittany Elise Serovy Nurse Practitioner 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096 2020-01-30
1750933560 Danielle Marie Castillo Registered Nurse 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096 2019-07-11
1497055099 Ear Clinic of Indiana LLC Specialist 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096 2010-10-28
1760594550 Deborah E. King Audiologist 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096 2006-08-31
1194701300 Denise A Bickley Audiologist 9604 Coldwater Rd Ste 101, Fort Wayne, IN 46825-2096 2005-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336772078 Bradley Murphy Occupational Therapist 2626 St Joe Center Ed, Fort Wayne, IN 46825 2020-02-21
1144851015 Sabryna Roman Developmental Therapist 2626 St Joe Center Rd, Fort Wayne, IN 46825 2020-01-30
1205474103 Ashleigh Miller Developmental Therapist 2626 St. Joe Center Rd, Fort Wayne, IN 46825 2019-12-11
1962055152 Carehalo Ohio LLC General Practice 2510 Dupont Circle Dr., Suite 201, Fort Wayne, IN 46825 2019-07-17
1306318175 Logan Alan Williams Nurse Anesthetist, Certified Registered 10315 Dawsons Creek Blvd Ste B, Fort Wayne, IN 46825 2018-12-18
1326582925 Mark F Stoner LLC Dentist 9830 Auburn Rd Suite 102, Fort Wayne, IN 46825 2016-12-15
1336695782 Nadine Rene' Handy Nurse Practitioner 3978 New Vision Dr., Fort Wayne, IN 46825 2016-08-26
1558815712 Nathan Paul Miller Physical Therapist 10006 Auburn Park Dr, Fort Wayne, IN 46825 2016-08-05
1013366905 Brianna Abbott Physician Assistant 1234 E Dupont Rd Ste 7, Fort Wayne, IN 46825 2016-06-10
1003276643 Seiss, LLC Psychologist 9910 Dupont Circle Drive, Suite 140, Fort Wayne, IN 46825 2016-02-24
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1366444390 John E Westfall Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2005-08-10
1811999840 William R Cast Otolaryngology 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 2005-08-10
1760801872 Sreeya Yalamanchali Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825 2014-04-16
1114284536 Paul William Porter Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2012-04-23
1508960774 Orl PC Otolaryngology 800 Broadway, Ste 207, Fort Wayne, IN 46802-2149 2006-09-11
1992741698 Allied Physicians Inc Otolaryngology 11141 Parkview Plaza Dr, Suite 210, Fort Wayne, IN 46845-1701 2006-06-21
1871540021 Charles S. Giffin Otolaryngology 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2006-05-30
1851377691 Ear, Nose & Throat Associates, PC Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2005-12-22
1497738231 Allied Physicians Inc., D/b/a Ear, Nose & Throat Specialists Otolaryngology 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 2005-11-25
1386636157 Henry Sayler Daugherty Otolaryngology 10021 Dupont Circle Ct, Fort Wayne, IN 46825-1604 2005-08-18
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City FORT WAYNE
Zip Code 46825

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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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