MR. STEPHAN RYAN FISHER (NPI# 1407368111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407368111 |
| Entity Type | Individual |
| Full Name | MR. STEPHAN RYAN FISHER |
| Credential | ATC, LAT |
| Practice Address |
601 University Dr San Marcos TX 78666-4684 |
| Mailing Address |
10348 Ross Lake Dr Peyton CO 80831-8439 |
| Practice Telephone | 7193235332 |
| Mailing Telephone | 7193235332 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2017-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
AT6772 | TX | Allopathic & Osteopathic Physicians |
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT6772 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
601 UNIVERSITY DR |
| City | SAN MARCOS |
| State | TX |
| Zip Code | 78666-4684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700831468 | Gaila Maureen Kenneally | Family Medicine | 601 University Dr, Student Health Center, San Marcos, TX 78666-4684 | 2006-05-23 |
| 1548869555 | Tyler Hollmann | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2020-10-21 |
| 1538772249 | Abigail R Weisler | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2020-08-24 |
| 1992330633 | Anahi Itselly Tamez | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2020-03-03 |
| 1598305799 | Abby Arrington | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2020-01-15 |
| 1629618848 | Jason Aaron Karlik | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2020-01-15 |
| 1659915619 | Alexia Nichelle Lewis | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2019-11-03 |
| 1366085490 | Benjamin Argall | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2019-10-22 |
| 1982251880 | Jeremy Cobb | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2019-08-25 |
| 1245794593 | James Lee Farnsworth II | Specialist/Technologist | 601 University Dr, San Marcos, TX 78666-4684 | 2019-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656198 | Jodie Lynn Stauffer | Social Worker | 2497 Fm 1979, San Marcos, TX 78666 | 2020-10-14 |
| 1619590965 | Ann Mary Carney | Occupational Therapist | 302 Riverside Dr, San Marcos, TX 78666 | 2020-05-21 |
| 1811510381 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 101 Concho St, San Marcos, TX 78666 | 2020-05-19 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1689138562 | Joseph Richard Lednicky | Specialist/Technologist | 700 Aquarena Springs Drive, San Marcos, TX 78666 | 2019-01-25 |
| 1376007336 | Viktoria Guerrero | Specialist/Technologist | Jowers Access Rd, San Marcos, TX 78666 | 2019-01-24 |
| 1336611771 | Joan Marie Wood | Occupational Therapist | Cole Pediatric Therapy, 101 Uhland Rd, San Marcos, TX 78666 | 2018-12-26 |
| 1851861496 | Kingfisher Health LLC | Home Health | 125 Mccarty Lane, San Marcos, TX 78666 | 2018-11-27 |
| 1669954723 | Christopher Macha | Student in an Organized Health Care Education/Training Program | 1 Jowers Access Road, San Marcos, TX 78666 | 2018-09-05 |
| Find all providers in zip 78666 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398196 | Alexandra Belliotti | Specialist/Technologist | 924 Richland Rd, San Marcos, CA 92069-9511 | 2020-08-25 |
| 1134749013 | Addison Rose Key | Specialist/Technologist | 1317 Prospect St, San Marcos, TX 78666-4033 | 2020-04-21 |
| 1154958262 | Michael Linden | Specialist/Technologist | 1025 Bluesage Dr, San Marcos, CA 92078-5205 | 2020-03-26 |
| 1750915674 | Isai Benitez | Specialist/Technologist | 1410 N Lbj Dr Apt 2310, San Marcos, TX 78666-3166 | 2020-02-29 |
| 1174157101 | Chase Joseph Gibson | Specialist/Technologist | 616 N Lbj Dr, Beretta Hall 401, San Marcos, TX 78666 | 2020-02-28 |
| 1548800782 | Emily Granger | Specialist/Technologist | 106 Charles Austin Dr, San Marcos, TX 78666 | 2020-01-15 |
| 1063060614 | Alanna Teresa Rivera | Specialist/Technologist | 1011 Wonder World Dr Apt 1807, San Marcos, TX 78666-7571 | 2019-08-27 |
| 1528614419 | Karan Padmakumar | Specialist/Technologist | 650 River Rd, San Marcos, TX 78666-7924 | 2019-08-15 |
| 1407400781 | Amanda Renee Martinez | Specialist/Technologist | 106 Espada Dr, San Marcos, TX 78666-6884 | 2019-07-25 |
| 1134771967 | Johnny Vinh Nghiem Huynh | Specialist/Technologist | 1637 Capalina Rd, San Marcos, CA 92069-1207 | 2019-07-11 |
| Find all providers in SAN MARCOS | ||||
| City | SAN MARCOS |
| Zip Code | 78666 |
Please comment or provide details below to improve the information on MR. STEPHAN RYAN FISHER.
| 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.