LEE HOWARD FISHER (NPI# 1407819592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407819592 |
Entity Type | Individual |
Full Name | LEE HOWARD FISHER |
Credential | MD |
Practice Address |
751 S Bascom Ave Diagnostic Imaging Department San Jose CA 95128-2604 |
Mailing Address |
16 Blue Grouse Ct Bozeman MT 59715-0648 |
Practice Telephone | 4088856370 |
Mailing Telephone | 4065220223 |
Enumeration Date | 2006-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 2085B0100X |
Radiology Specialization: Body Imaging |
A46002 | CA | Allopathic & Osteopathic Physicians |
X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
G34614 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 00G346140 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104345321 | Lee M Fisher | Developmental Therapist | 10333 Mosscrest Dr, Dallas, TX 75238 | 2017-09-19 |
Street Address |
751 S BASCOM AVE DIAGNOSTIC IMAGING DEPARTMENT |
City | SAN JOSE |
State | CA |
Zip Code | 95128-2604 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396743217 | Ellen Perez Travis | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2005-07-13 |
1235738691 | Alina Bogdanovich | Registered Nurse | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-10-17 |
1255946380 | Kimberly Red Soria | Nurse Practitioner | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-09-15 |
1568072403 | Emily Win Hou | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-05 |
1649880063 | Katherine Ann Trescott | Speech-Language Pathologist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-08-01 |
1992320386 | Gino Dizon Legaspi | Physical Therapy Assistant | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-11 |
1215552732 | Emily Louise Masad | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128-2699 | 2020-06-10 |
1790300341 | Laura Muzzatti | Physical Therapist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-06-09 |
1679195085 | Raymond Chao | Pharmacist | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-05-08 |
1407476765 | Yoo Jung Kim | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2020-04-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982227138 | Ruth Larsen | Social Worker | 850 S. Bascom Avenue, Suite 280, San Jose, CA 95128 | 2020-05-22 |
1265067185 | Of Two Minds Psychotherapy | Marriage & Family Therapist | 190 S. Bascom Ave, Ste 130, San Jose, CA 95128 | 2020-03-11 |
1982244166 | Cindy Pantoja Escobar | Behavior Technician | 100 O'connor Drive, Suites 21, San Jose, CA 95128 | 2020-01-15 |
1104460591 | Katherine Alexandra Misogas | Pharmacist | 777 Turner Dr # 330, San Jose, CA 95128 | 2019-10-29 |
1942842216 | Jodie Pierce | Marriage & Family Therapist | 871 Enborg Lane, San Jose, CA 95128 | 2019-10-08 |
1003466434 | Dong Mi Cha | Pharmacist | 777 Turner Dr Ste 330, San Jose, CA 95128 | 2019-09-17 |
1114571759 | Sleep Well Acupuncture, Inc | Acupuncturist | 1361 S Winchester Blvd Suite 206, San Jose, CA 95128 | 2019-08-01 |
1083277677 | Wellocity, Inc | Health Educator | 334 Santana Row, 318, San Jose, CA 95128 | 2019-04-18 |
1518428812 | Alexander Diaz | Radiology | 75 South Bascom Ave, San Jose, CA 95128 | 2019-03-28 |
1720542103 | Nanci R Price Inc | Chiropractor | 100 O'connor Dr., Ste 27, San Jose, CA 95128 | 2019-01-30 |
Find all providers in zip 95128 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
1205007366 | Thomas Charles Mccarthy | Radiology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2008-03-17 |
1164508628 | Raymond Hung | Radiology | 751 S Bascom Ave, Diagnostic Imaging, San Jose, CA 95128-2604 | 2006-10-27 |
1568558047 | Harry Leroy Morrison | Radiology | 751 S Bascom Ave, Diagnostic Imaging, San Jose, CA 95128 | 2006-10-04 |
1245322189 | Jeffrey Tseng | Radiology | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2006-09-28 |
1356446835 | Rajul Pandit | Radiology | 751 S Bascom Ave, Diagnostic Imaging Dept, San Jose, CA 95128-2604 | 2006-09-13 |
1871559229 | Edward Arthur Lebowitz | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-25 |
1912963638 | John Chi-hang Lau | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-21 |
1366405953 | Keith Edward Fraker | Radiology | 751 S Bascom Ave, Diagnostic Imaging Department, San Jose, CA 95128-2604 | 2006-04-06 |
1295797322 | Samuel K Dawn | Radiology | 751 S Bascom Ave, Diagnostic Imaging Dept, San Jose, CA 95128-2604 | 2006-04-04 |
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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.