JACK ELLIOTT FISHER


Address: 8o 5th St, Gilroy, CA 95020-5748
Phone: 4088420281

JACK ELLIOTT FISHER (NPI# 1629072392) 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) 1629072392
Entity Type Individual
Full Name JACK ELLIOTT FISHER
Credential DPM
Practice Address 8o 5th St
Gilroy
CA 95020-5748
Practice Telephone 4088420281
Practice Fax Number 4088484341
Mailing Telephone 4088420281
Mailing Fax Number 4088484341
Enumeration Date 2005-06-09
Last Update Date 2014-08-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213E00000X Podiatrist E1702 CA Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
E1702 CA Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICAL LICENSE E1702 01
CA ENTITY NPI 1780794644 01
CA INDIVIDUAL NPI 1629072392 01

Other Providers JACK FISHER

NPI Name Taxonomy Address Enumeration
1780711804 Jack Fisher Surgery 310 23rd Ave N Ste 101, Nashville, TN 37203-1525 2007-02-27
1609948363 Jack Coleman Fisher Dentist 8295 Cordova Rd, Suite 101, Cordova, TN 38016-2045 2006-11-15
1962569012 Jack Fisher Dentist 8200 W Silver Spring Dr, Milwaukee, WI 53218-2552 2007-01-01
1922071190 Jack Lawrence Fisher Counselor 1127 10th Ave E, Suite 7, Seattle, WA 98102-4377 2006-02-08

Office Location

Street Address 8O 5TH ST
City GILROY
State CA
Zip Code 95020-5748

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376158105 Benjamin Liupaogo Case Manager/Care Coordinator Rebekah Children's Services, 290 Ioof Ave, Gilroy, CA 95020 2020-09-09
1205457330 Ethel Rostran Counselor 290 I00f Ave., Gilroy, CA 95020 2020-04-29
1407498868 Mehak Saini Behavior Technician 9360 Noname Uno, Gilroy, CA 95020 2019-10-16
1629622899 Bruce Daniel Pirl Counselor 290 Ioof Rebekah Children Ave, 290 Ioof Avenue-phoenix School, Gilroy, CA 95020 2019-07-26
1932752490 Eamon F. Burke Counselor Rebekah Children Services, 290 Ioof Ave., Gilroy, CA 95020 2019-07-23
1578116232 Jose Enrique Cruz Behavior Technician 9360 Noname Uno #130, Gilroy, CA 95020 2019-07-22
1558925560 Mauricio Hazael Procopio Behavioral Analyst 9360 Noname Uno Suite 130, Gilroy, CA 95020 2019-04-24
1689138893 Gabriela Mendoza Behavioral Analyst 9395 Kern Ave, Gilroy, CA 95020 2019-01-22
1972082782 Andrea Gloria Blanton Social Worker Rebekah Children's Services, 290 100f Ave, Gilroy, CA 95020 2018-08-13
1407334626 Katrina Davina Aguilera Case Manager/Care Coordinator 290 Loof Ave., Gilroy, CA 95020 2018-07-31
Find all providers in zip 95020

Taxonomy Information

Taxonomy Code 213E00000X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist

Taxonomy Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861936205 Kaveh Akhbari Dpm PC Podiatrist 80 5th St, Gilroy, CA 95020-5702 2016-12-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649884610 South Bay Foot & Ankle Specialists, Inc. Podiatrist 5565 Grossmont Center Dr Ste 510, La Mesa, CA 91942-3024 2020-09-07
1811512866 Ankle & Foot Care Center Inc Podiatrist 15141 Whittier Blvd Ste 330, Whittier, CA 90603-2168 2020-06-15
1912528928 Clement Podiatry PC Podiatrist 505 Sansome St Ste 850, San Francisco, CA 94111-3114 2020-04-30
1942834775 Felix Sigal Dpm A Professional Corporation Podiatrist 201 S Alvarado St Ste 819, Los Angeles, CA 90057-2391 2020-03-02
1033758339 Yosemite Bone and Joint Inc Podiatrist 1199 Delbon Ave Ste 1, Turlock, CA 95382-2006 2020-01-03
1194361634 K David Flora Dpm Inc Podiatrist 1086 N Cherry St, Tulare, CA 93274-2251 2019-11-19
1902457963 Silverlake Virgil Surgery Center Podiatrist 3367 W 1st St Ste 204, Los Angeles, CA 90004-6080 2019-09-21
1134778178 Mohamad Belal Sharif Podiatrist Va Loma Linda 11201 Benton St, Loma Linda, CA 92357-0001 2019-09-11
1972159366 Bay Area Surgical Specialists Inc A Medical Corporation Podiatrist 6061 N 1st St Ste 103, Fresno, CA 93710-5470 2019-08-13
1790331189 Bay Area Surgical Specialists Inc A Medical Corporation Podiatrist 774 N Prospect St Ste B, Porterville, CA 93257-1941 2019-08-13
Find all providers with the same taxonomy

Competitor

Search similar providers

City GILROY
Zip Code 95020

Improve Information

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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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