DAVID FISH (NPI# 1659422798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | MEDICARE | 002257501 | 01 |
MA | 110088658A | 05 |
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 |
Street Address |
55 LAKE AVE N MEDICINE-PEDIATRICS HOSPITAL MEDICINE |
City | WORCESTER |
State | MA |
Zip Code | 01655-0002 |
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 |
Find all providers in the same location |
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 Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
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. |
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 |
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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.