GRANT WILLIAM FISHER (NPI# 1558743021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558743021 |
| Entity Type | Individual |
| Full Name | GRANT WILLIAM FISHER |
| Practice Address |
2065 Airport Blvd Ste 300 Pensacola FL 32504-5930 |
| Practice Telephone | 8504776966 |
| Mailing Telephone | 8504776966 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
OT 17076 | FL | Ambulatory Health Care Facilities |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
OTT.200727 | LA | Ambulatory Health Care Facilities |
| N | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
OT 14996 | CA | Ambulatory Health Care Facilities |
| Street Address |
2065 AIRPORT BLVD STE 300 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32504-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323673 | Trevor Perry | Occupational Therapist | 2065 Airport Blvd Ste 300, Pensacola, FL 32504-5930 | 2019-12-11 |
| 1205322195 | Silas Tucker | Physical Therapist | 2065 Airport Blvd Ste 300, Pensacola, FL 32504-5930 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659978393 | Quinyatta Stride | Behavior Technician | 2511 Creighton Rd., Pensacola, FL 32504 | 2020-10-06 |
| 1962017657 | Pt Solutions of Pensacola LLC | Occupational Therapist | 2114 Creighton Rd, Ste C, Pensacola, FL 32504 | 2020-09-10 |
| 1982226742 | Elevate Behavioral Solutions | Behavioral Analyst | 4045 Renoir St, Pensacola, FL 32504 | 2020-05-14 |
| 1760021349 | Veteran Evaluations of Florida | Internal Medicine | 2411 Executive Plaza Drive, Suite A, Pensacola, FL 32504 | 2019-12-31 |
| 1215575527 | First City Health LLC | Pharmacy | 6005 College Parkway, Suite 1, Pensacola, FL 32504 | 2019-12-17 |
| 1184261158 | Claire Ann Letendre | Audiologist | 5153 N 9th Ave Pediatric Off Building, Pensacola, FL 32504 | 2019-12-09 |
| 1083275101 | Benjamin Mcmillon | Chiropractor | 2629 Creighton Road, Suite 1, Pensacola, FL 32504 | 2019-06-28 |
| 1407342595 | Faryal Munir | Student in an Organized Health Care Education/Training Program | Uf Pediatric Residency 5151 North 9th Ave, 6th Floor Nemours, Pensacola, FL 32504 | 2018-07-02 |
| 1497252050 | Sibyl Tenille Page | Nurse Practitioner | 5147 N 9th Ave Ste 322, Pensacola, FL 32504 | 2018-04-10 |
| 1396272589 | Sacred Heart Hospital | General Acute Care Hospital | 2552 Carmel Heights Rd, Pensacola, FL 32504 | 2017-05-18 |
| Find all providers in zip 32504 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714400 | Medical Professional Agency Inc | Clinic/Center | 9400 University Pkwy, Pensacola, FL 32514-5752 | 2007-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376197491 | Cano Occupational Medicine, LLC | Clinic/Center | 7911 Nw 72nd Ave Ste 111, Medley, FL 33166-2221 | 2019-07-26 |
| 1285153429 | Dynamic Theraplay | Clinic/Center | 9278 Legare St, Boca Raton, FL 33434-5905 | 2017-09-19 |
| 1114455490 | Zamoyski, LLC | Clinic/Center | 17100 Collins Ave Ste 210, Sunny Isles Beach, FL 33160-3675 | 2017-05-31 |
| 1124564935 | Holy Cross Hospital | Clinic/Center | 10098 Stonehenge Cir Apt 403, Boynton Beach, FL 33437-3542 | 2017-01-18 |
| 1861852535 | Life Extension Clinics | Clinic/Center | 4130 Salisbury Rd Ste 2400, Jacksonville, FL 32216-8052 | 2016-02-24 |
| 1952780702 | Y&a Medical Center Corp | Clinic/Center | 3750 W 16th Ave Ste 130u, Hialeah, FL 33012-4683 | 2015-05-27 |
| 1700280559 | Kg Therapy LLC | Clinic/Center | 1015 Spanish River Rd, #304, Boca Raton, FL 33432-7677 | 2014-10-22 |
| 1295137081 | Bcot Assessment & Sevices, Inc | Clinic/Center | 2100 E.hallandale Bch Blvd., Ste. 101a, Hallandale, FL 33009-3722 | 2014-09-23 |
| 1578971388 | Lakeside Occupational Medical Centers Inc | Clinic/Center | 12120 Cortez Blvd, Brooksville, FL 34613-5514 | 2014-07-24 |
| 1164849931 | Community Case Management Services, LLC | Clinic/Center | 815 Nw 57th Ave Ste 400, Miami, FL 33126 | 2014-03-18 |
| Find all providers with the same taxonomy | ||||
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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.