DR. ROBERT A FISHMAN (NPI# 1881786341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881786341 |
| Entity Type | Individual |
| Full Name | DR. ROBERT A FISHMAN |
| Credential | MD |
| Practice Address |
21000 E 12 Mile Rd Suite 111 Saint Clair Shores MI 48081-1116 |
| Mailing Address |
21000 E 12 Mile Rd Ste 111 St Clair Shores MI 48081 |
| Practice Telephone | 5867797610 |
| Mailing Telephone | 5867797610 |
| Mailing Fax Number | 5764452523 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Y00000X | Otolaryngology | RF041043 | MI | Allopathic & Osteopathic Physicians |
| Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
RF041043 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CARE CHOICES | 101764 | 01 | |
| RAILROAD MEDICARE | 040008563 | 01 | |
| MCAR | C5083 | 01 | |
| HEALTH ALLIANCE PLAN | D91373 | 01 | |
| MI | BLUE SHIELD GROUP | 040E06192 | 01 |
| GREAT LAKES HEALTH | 103994 | 01 | |
| MI | 1433910 | 05 | |
| AETNA | 44033233 | 01 | |
| CIGNA | 2326702002 | 01 | |
| BLUE CARE NETWORK | 0500323 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578807939 | Robert Frederick Fishman | General Practice | 308 Farwood Rd, Wynnewood, PA 19096-4013 | 2012-11-23 |
| 1508127176 | Robert Stephen Fishman | Internal Medicine | 3280 Bayshore Blvd, Brisbane, CA 94005-1021 | 2012-05-31 |
| 1578696472 | Robert Stephen Fishman | Psychologist | 45 1144 Kam Highway, Suite 303 American Savings Bank Bldg Robert Fishman Phd, Kaneohe, HI 96744 | 2007-03-13 |
| 1477669539 | Robert M Fishman | Internal Medicine | 129 College St, South Hadley, MA 01075-1388 | 2006-08-22 |
| 1760823165 | Robert Fishman | Pharmacist | 4401 Sheridan St, Hollywood, FL 33021-3513 | 2013-07-13 |
| 1437480878 | Robert Fishman | Occupational Therapist | 12411 Slauson Ave., Unit H., Whittier, CA 90606-2835 | 2010-01-25 |
| 1982807921 | Robert A Fishman | Psychiatry & Neurology | 1200 Sharon Rd Ste 201, Beaver, PA 15009-3148 | 2007-06-07 |
| 1407828148 | Robert S Fishman | Internal Medicine | 951 Nw 13th St, Suite 2e, Boca Raton, FL 33486-2337 | 2006-02-06 |
| 1366447179 | Robert F. Fishman | Internal Medicine | 1305 Post Rd, Fairfield, CT 06824-6016 | 2005-06-17 |
| Street Address |
21000 E 12 MILE RD SUITE 111 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48081-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255330486 | Jennifer Kay Appleyard | Allergy & Immunology | 21000 E 12 Mile Rd, Ste 111, Saint Clair Shores, MI 48081-1116 | 2005-07-19 |
| 1881203479 | Andrew Michael Keltz | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2020-07-29 |
| 1770120230 | Holly Ann Reckers | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-12-04 |
| 1578037966 | Maria Juliana Codino | Speech-Language Pathologist | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2019-01-18 |
| 1942779921 | Maria D Samsa | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2018-11-19 |
| 1801331210 | Katja N Tandarich | Nurse Practitioner | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1116 | 2016-12-21 |
| 1053854133 | Jean P. Skeffington | Speech-Language Pathologist | 21000 E 12 Mile Rd, Suite111, Saint Clair Shores, MI 48081-1116 | 2016-11-22 |
| 1134588254 | Alyssa Domenica Baker | Physician Assistant | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2016-02-17 |
| 1316350192 | Seton Health Corporation of Southeastern Michigan | Clinic/Center | 21000 E 12 Mile Rd, Suite 105, Saint Clair Shores, MI 48081-1116 | 2014-06-09 |
| 1720404775 | Sean Anthony Cassleman | Internal Medicine | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 | 2014-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750865416 | Saint Clair Family Pharmacy LLC | Pharmacy | 28001 Harper Ave., Saint Clair Shores, MI 48081 | 2018-09-19 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1245676998 | Julia Hanson | Social Worker | 27941 Harper Ave., Suite 105, St. Clair Shores, MI 48081 | 2013-05-21 |
| 1760731301 | Life Transition Service | Community/Behavioral Health | 21031 Sunnydale, St. Clair Shore, MI 48081 | 2012-08-29 |
| 1477868792 | William Burr Wood | Pharmacist | 21000 Twelve Milerd., St Clair Shores, MI 48081 | 2010-08-11 |
| 1508094350 | Dominic Anthony Garrisi | Anesthesiology | 21018 Bon Brae, St. Clair Shores, MI 48081 | 2009-06-30 |
| 1992947022 | Karen Ostrowski-thomas | Occupational Therapist | 22442 Bayview, St. Clair Shores, MI 48081 | 2009-04-06 |
| 1891979787 | Chirag Rachhadia | Physical Therapist | 29150 Harper Avenue, St. Clair Shores, MI 48081 | 2007-12-27 |
| 1598955114 | Donna Warner Manczak | Psychologist | 21400 E Eleven Mil Rd, St Clair Shores, MI 48081 | 2007-07-30 |
| 1467652347 | Sumit Narayanprasad Fogla | Family Medicine | 21400 E Eleven Mile Road, St. Clair Shores, MI 48081 | 2007-07-19 |
| Find all providers in zip 48081 | ||||
| Taxonomy Code | 207YP0228X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Pediatric Otolaryngology |
| A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568861557 | Henry Ford Wyandotte Hospital | Otolaryngology | 23050 West Rd Ste 240, Brownstown Twp, MI 48183-1473 | 2014-08-15 |
| 1538568696 | James Coticchia, M.d., P.C. | Otolaryngology | 18181 Oakwood Blvd Ste 202, Dearborn, MI 48124-4082 | 2014-08-14 |
| 1528357506 | Mallory Brooke O'niel | Otolaryngology | 3901 Beaubien St Ste 2102, Detroit, MI 48201-2119 | 2011-03-30 |
| 1629300165 | Sinan Atmaca | Otolaryngology | 29120 Franklin Rd, Southfield, MI 48034-1105 | 2010-02-09 |
| 1437387297 | Ranga Reddy Sirigiri | Otolaryngology | 660 Trombley Dr, Troy, MI 48083-5135 | 2009-06-30 |
| 1528258787 | Cecilia Canto Helwig | Otolaryngology | 3901 Beaubien St Ste 3515, Detroit, MI 48201 | 2007-07-25 |
| 1770831497 | Randa Al Barazi | Otolaryngology | 3901 Beaubien St, Children's Hospital of Michigan, Detroit, MI 48201 | 2012-08-28 |
| 1538399621 | Sonal Saraiya | Otolaryngology | 3901 Beaubien St, Detroit, MI 48201-2119 | 2009-07-23 |
| 1174759815 | Nathan Gonik | Otolaryngology | 3901 Beaubien St, Suite 2102, Detroit, MI 48201-2119 | 2009-06-09 |
| 1134378730 | Ear, Nose & Throat Institute of Michigan, Pllc | Otolaryngology | 14555 Levan Rd, Suite 206, Livonia, MI 48154-5083 | 2008-09-18 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
Please comment or provide details below to improve the information on DR. ROBERT A FISHMAN.
| 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.