DAVID FISH


Address: 55 Lake Ave N, Medicine-pediatrics Hospital Medicine, Worcester, MA 01655-0002
Phone: 7744426087

DAVID FISH (NPI# 1659422798) 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) 1659422798
Entity Type Individual
Full Name DAVID FISH
Credential M.D.
Practice Address 55 Lake Ave N
Medicine-pediatrics Hospital Medicine
Worcester
MA 01655-0002
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 7744426087
Practice Fax Number 7744426060
Mailing Telephone 8002258885
Mailing Fax Number 5083341977
Enumeration Date 2007-01-16
Last Update Date 2017-05-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 245903 MA Allopathic & Osteopathic Physicians
Y 208000000X Pediatrics 245903 MA Allopathic & Osteopathic Physicians
N 208M00000X Hospitalist 245903 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA MEDICARE 002257501 01
MA 110088658A 05

Other Providers DAVID FISH

NPI Name Taxonomy Address Enumeration
1992183776 David Fish Anesthesiology 2710 S Rife Medical Ln, Rogers, AR 72758-1452 2015-05-12
1043614530 David James Fish Social Worker 27941 Harper Ave Ste 102, Saint Clair Shores, MI 48081-1535 2014-10-13
1245573138 David Dean Fish Chiropractor 1310 S Milwaukee Ave, Libertyville, IL 60048-3795 2013-03-29
1336301126 David William Fish Psychiatry & Neurology 169 Libbey Pkwy, Weymouth, MA 02189-3101 2008-07-02
1619179389 David Ryan Fish Emergency Medicine 3300 Nw Expressway, Oklahoma City, OK 73112-4418 2007-06-04
1124150685 David Andrew Fish Anesthesiology 600 Mary St, Evansville, IN 47710-1674 2007-03-11
1336294776 David S Fish Dentist 181 Concord Ave, Cambridge, MA 02138-2317 2007-01-24
1205983475 David Jay Fish Social Worker 29w120 Butterfield Rd Ste 104a, Warrenville, IL 60555-2830 2007-01-03
1306903372 David Lloyd Fish Counselor 555 Northgate Dr, Family Service Agency of Marin, San Rafael, CA 94903-3680 2007-01-02
1356424741 David Eli Fish Orthopaedic Surgery 10833 Le Conte Ave, Los Angeles, CA 90095-3075 2006-10-23

Office Location

Street Address 55 LAKE AVE N
MEDICINE-PEDIATRICS HOSPITAL MEDICINE
City WORCESTER
State MA
Zip Code 01655-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556587 James E Liebmann Internal Medicine 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 2005-05-23
1518568732 Justin Bullard Psychologist 55 Lake Ave N, Worcester, MA 01655-0002 2020-11-04
1346849825 Meghan Moore Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-10-26
1174122899 Jessica Goncalves Ferreira Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-10-23
1235746686 Desiree Mytych Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-09-29
1659986248 Rebecca Lynn Harris Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-09-10
1639781487 Gabriella Kathleen Holland Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-21
1730791898 Kerry Anne Benedict Speech-Language Pathologist 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-20
1902418999 Natasha R. Turner Genetic Counselor, MS 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-20
1144830712 Abbey Corsini Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205489713 Darryl Sweeper Jr. Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-23
1225690530 Ryan Zenevitch Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 2019-07-08
1932688454 Victoria Sayeg Student in an Organized Health Care Education/Training Program 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 2018-08-07
1114425675 Judith Dio Wentzell Social Worker Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 2018-01-30
1861927386 Muhammad Waqas Khan Student in an Organized Health Care Education/Training Program University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 2017-04-21
1861806192 Qaiser Shamshir Khan Psychiatry & Neurology 55 Lake Ave N # S7-831, Worcester, MA 01655 2014-06-14
1073858981 Heidi Glover Nurse Practitioner 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 2012-12-04
1972867992 Anna Bjornsdottir Psychiatry & Neurology 55 Lake Av N, Worcester, MA 01655 2012-06-25
1245567676 Steven Edward Mckinley Nurse Practitioner 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 2009-11-05
1851582951 Robin I Davidson Neurological Surgery 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 2007-08-05
Find all providers in zip 01655

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164547014 John A Riordan Pediatrics 117 Coolidge Rd, Worcester, MA 01602-2750 2007-03-20
1811071012 Sheila M Callahan Butler Pediatrics 372 Chandler Street, Worcester, MA 01602 2006-10-24
1467551879 Christine S. Freemer Pediatrics 291 Lincoln St Ste 101, Worcester, MA 01605-3643 2006-09-22
1306941794 Mariam Lari Pediatrics Umass Memorial Children's Med. Ctr., 55 Lake Avenue North, Worcester, MA 01655 2006-09-13
1518991306 Julie E Meyers Pediatrics Umass Medical School, 100 Century Drive, Worcester, MA 01613 2006-07-10
1487601068 Nicholas Peter Pacella Pediatrics 45 Oak Ave, Worcester, MA 01605-2730 2006-05-28
1922098664 Timothy Wells Watkins Pediatrics 650 Lincoln St, Worcester, MA 01605-2060 2005-10-25
1053319905 Chandler Pediatrics Pediatrics 421 Chandler St., Worcester, MA 01602 2005-07-13
1952305997 Catherine Anne Riordan Pediatrics 421 Chandler St, Worcester, MA 01602-2915 2005-06-08
1164950945 Kamaris M Merritt Pediatrics 119 Belmont St, Worcester, MA 01605-2903 2017-05-24
Find all providers in WORCESTER

Competitor

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City WORCESTER
Zip Code 01655

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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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