DR. JERRY FISHER (NPI# 1568467223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568467223 |
Entity Type | Individual |
Full Name | DR. JERRY FISHER |
Credential | MD |
Practice Address |
4421 Ne St Johns Rd Suite F Vancouver WA 98661-2573 |
Practice Telephone | 3606959922 |
Practice Fax Number | 3606951310 |
Mailing Telephone | 3606959922 |
Mailing Fax Number | 3606951310 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2009-12-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | 10276 | WA | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | 10276 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | WA STATE CRIME VICTIMS | MD10276 | 01 |
WA | 8303000 | 05 | |
WA | DEPT OF LABOR & INDUSTRIE | 0185791 | 01 |
Street Address |
4421 NE ST JOHNS RD SUITE F |
City | VANCOUVER |
State | WA |
Zip Code | 98661-2573 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942751052 | Katharine Anne Havard | Physician Assistant | 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 | 2016-10-24 |
1134678030 | Kenshin Scoggin | Physical Therapist | 4421 Ne St Johns Rd, Suite D, Vancouver, WA 98661-2573 | 2016-10-03 |
1841411949 | Howard Bruce Goodwin | Physician Assistant | 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 | 2007-05-02 |
1316161029 | Northwest Rehabilitation Institute | Clinic/Center | 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 | 2007-04-12 |
1013040500 | Emergency Rooms, Ps | Emergency Medicine | 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 | 2007-03-13 |
1467544320 | Katie Ellen Winans | Physician Assistant | 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 | 2006-09-29 |
1689668246 | Robert D Thornton | General Practice | 4421 Ne St Johns Rd, Suite F, Vancouver, WA 98661-2573 | 2005-09-09 |
1063405983 | Terrald S. Kadrmas | Physical Therapist | 4421 Ne St Johns Rd, Vancouver, WA 98661-2573 | 2005-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
Find all providers in zip 98661 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
1851512644 | Points of Origin, Pllc | General Practice | 18810 Ne 18th St, Vancouver, WA 98684-0969 | 2007-05-01 |
1174516082 | Stephen E. Pliska | General Practice | 7701 Ne Highway 99, Vancouver, WA 98665-8834 | 2005-08-25 |
1265984249 | Kaiser Foundation Health Plan of The Northwest | General Practice | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2016-10-26 |
1053863902 | Kaiser Foundation Health Plan of The Northwest | General Practice | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2016-10-26 |
1770035610 | Kaiser Foundation Health Plan of The Northwest | General Practice | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2016-10-26 |
1588116438 | Kaiser Foundation Health Plan of The Northwest | General Practice | 203 Se Park Plaza Dr, Suite 140, Vancouver, WA 98684-5886 | 2016-10-26 |
1871898254 | Lynda Tang | General Practice | 700 Ne 87th Ave, Suite 220, Vancouver, WA 98664-1913 | 2011-01-17 |
1871818070 | Urgent Oregon Care Inc | General Practice | 5305 E 18th St, Suite 224, Vancouver, WA 98661-6583 | 2010-03-30 |
1972725612 | Peter Hanfileti | General Practice | 18810 Ne 18th St, Vancouver, WA 98684-0969 | 2007-05-03 |
Find all providers in VANCOUVER |
Please comment or provide details below to improve the information on DR. JERRY 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.