JONATHAN ROSS FISH (NPI# 1629117890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629117890 |
| Entity Type | Individual |
| Full Name | JONATHAN ROSS FISH |
| Credential | M.D. |
| Practice Address |
1233 34th St Nw Bemidji MN 56601-5112 |
| Practice Telephone | 2183335283 |
| Practice Fax Number | 2183335360 |
| Mailing Telephone | 2183335283 |
| Mailing Fax Number | 2183335360 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2012-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
11109 | ND | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
46718 | MN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
24357 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 10732 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750599163 | Jonathan D Fish | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2007-05-18 |
| 1033146758 | Jonathan Fish | Radiology | 2125 Oak Grove Rd, Suite 200, Walnut Creek, CA 94598-2536 | 2006-06-27 |
| 1629039599 | Jonathan W Fish | Family Medicine | 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 | 2006-03-30 |
| 1497748883 | Jonathan Scott Fish | Internal Medicine | 2470 Longstone Ln Ste I, Marriottsville, MD 21104-1523 | 2005-08-31 |
| Street Address |
1233 34TH ST NW |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093775900 | David Alan Vanengelenhoven | Emergency Medicine | 1233 34th St Nw, Meritcare Clinic, Bemidji, MN 56601 | 2006-03-24 |
| 1467063297 | Melissa Cook | Social Worker | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2020-08-14 |
| 1669961561 | Sanford Clinic North | Durable Medical Equipment & Medical Supplies | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2018-05-07 |
| 1164956645 | Sanford Clinic North | Pharmacist | 1233 34th St Nw, Sanford Clinic Pharmacy, Bemidji, MN 56601-5112 | 2017-04-12 |
| 1982055661 | Emmanuel Ortiz Erestain | Internal Medicine | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2016-06-24 |
| 1821407453 | Jennifer Leonhard | Genetic Counselor, MS | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2014-08-07 |
| 1235553140 | Gretchen Lee Bonik | Pharmacist | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2014-02-12 |
| 1023350949 | Terry Joseph Luma | Family Medicine | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2013-03-18 |
| 1841544160 | Brittany Dawn Smith | Dietitian, Registered | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2012-11-08 |
| 1043565757 | Jayasri Alapati | Psychiatry & Neurology | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326278573 | Matthew Lee | Radiology | 1300 Anne St Nw, Bemidji, MN 56601-5103 | 2009-07-22 |
| 1265571137 | Michael C Thurgood | Radiology | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2007-02-06 |
| 1033167416 | Matthew F Sanford | Radiology | 1233 34th St Nw, Bemidji, MN 56601-5112 | 2006-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457967234 | Central Imaging LLC | Radiology | 3351 Roosevelt Rd, Saint Cloud, MN 56301-6270 | 2020-09-17 |
| 1053930578 | Dmitriy Shchegolev | Radiology | 14346 Wilson Dr, Eden Prairie, MN 55347-4179 | 2020-04-14 |
| 1306333109 | John Warren Kirby | Radiology | 200 1st St Sw # 507284, Rochester, MN 55905 | 2018-04-17 |
| 1861904765 | Stephanie Dykema | Radiology | 6809 Sandlewood Rd, Woodbury, MN 55125-2175 | 2017-10-31 |
| 1609392349 | Rai Keystone Imaging Services, LLC | Radiology | 5775 Wayzata Blvd Ste 400, St Louis Park, MN 55416-1271 | 2017-08-15 |
| 1235687088 | Jeffery E. Illman | Radiology | 1082 Southern Ridge Dr Sw, Rochester, MN 55902-1854 | 2016-09-21 |
| 1407226582 | Keith W. Johnson | Radiology | 450 Bayview Dr, Roseville, MN 55113-6907 | 2015-10-01 |
| 1164765822 | Robben Andrew Schat | Radiology | 420 Delaware St Se - Mmc 292, Minneapolis, MN 55455-0341 | 2013-04-01 |
| 1326363102 | Gilda Boroumand | Radiology | 1901 Irving Ave S, Minneapolis, MN 55403-2824 | 2010-04-05 |
| 1477880276 | Siobhan Moira Flanagan | Radiology | Mmc 292,420 Delaware Street Se, University of Minnesota Department of Radiology, Minneapolis, MN 55455 | 2009-11-16 |
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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.