KENNETH J FISH SR. (NPI# 1912972423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912972423 |
| Entity Type | Individual |
| Full Name | KENNETH J FISH SR. |
| Credential | D.O. |
| Practice Address |
3 Bridge Street Suite 3 Carthage NY 13619 |
| Practice Telephone | 3154937334 |
| Practice Fax Number | 3154931811 |
| Mailing Telephone | 3154937334 |
| Mailing Fax Number | 3154931811 |
| Enumeration Date | 2006-02-18 |
| Last Update Date | 2010-11-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 172139 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01079116 | 05 | |
| NY | STATE ISSUED ID NUMBER | 196957660 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124157516 | Kenneth John Fish | Chiropractor | 937 Russell Ave Ste B, Gaithersburg, MD 20879-3280 | 2007-03-03 |
| Street Address |
3 BRIDGE STREET SUITE 3 |
| City | CARTHAGE |
| State | NY |
| Zip Code | 13619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720079155 | Alvin H Bregman | Dentist | 3 Bridge Street, Carthage, NY 13619 | 2005-11-03 |
| 1184185712 | Michele White | Counselor | 3 Bridge Street, Bh Clinic, Carthage, NY 13619 | 2019-03-27 |
| 1225582901 | Kyra Rzhevsky | Nurse Practitioner | 3 Bridge Street, Suite 3, Carthage, NY 13619-1323 | 2016-08-10 |
| 1912253469 | Sarah E Hill | Nurse Practitioner | 3 Bridge Street, Suite 3, Carthage, NY 13619-1323 | 2012-08-01 |
| 1922274208 | Natashya M. Fraser | Dentist | 3 Bridge Street, Carthage, NY 13619 | 2008-05-06 |
| 1871770529 | Donna Ellen Perry | Social Worker | 3 Bridge Street, Carthage Area Behavioral Health Center, Carthage, NY 13619-3928 | 2008-01-24 |
| 1366638728 | Nata Z Parnes | Orthopaedic Surgery | 3 Bridge Street, Carthage, NY 13619 | 2007-09-19 |
| 1952593881 | Jerome F Cuyler | Internal Medicine | 3 Bridge Street, Suite 3, Carthage, NY 13619-1333 | 2007-08-14 |
| 1154352854 | Samuel S Verbeck Jr. | Physician Assistant | 3 Bridge Street, Suite 3, Carthage, NY 13619-1323 | 2006-07-05 |
| 1811936081 | Scott H Mitchell | Internal Medicine | 3 Bridge Street, Suite 3, Carthage, NY 13619-1323 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025316 | Danielle Lachele Nier | Licensed Practical Nurse | 35789 Jackson II Rd, Carthage, NY 13619 | 2019-10-25 |
| 1750944310 | Carthage Area Hospital, Inc. | Clinic/Center | 22075 Constitution Drive, Carthage, NY 13619 | 2019-04-19 |
| 1942723895 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 118 Canal St Ste 1, Carthage, NY 13619 | 2017-07-24 |
| 1003214313 | James Powers | Pharmacist | 60 High St., West Carthage, NY 13619 | 2014-12-18 |
| 1285069153 | Rachel E Dill | Dietitian, Registered | 1001 West Street Rd, Carthage, NY 13619 | 2013-09-10 |
| 1811074032 | Women First Ob Gyn PC | Obstetrics & Gynecology | 36381 Nys Route 26, Carthage, NY 13619 | 2006-11-01 |
| 1982788394 | Gaston F Dacosta | Obstetrics & Gynecology | 117 N. Mechanic Street, Carthage, NY 13619 | 2006-10-24 |
| 1477657641 | Sultan Mahmood Imdad | Family Medicine | Carthage Area Hospital, Bridge Street, Carthage, NY 13619 | 2006-09-11 |
| 1104937945 | Maryellen Blevins | Physician Assistant | 3 Bridge St., Carthage, NY 13619 | 2006-08-31 |
| 1023029824 | Mark A Parshall | Emergency Medicine | 1001 West Street, Carthage, NY 13619 | 2006-08-10 |
| Find all providers in zip 13619 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790211894 | Meagan White Smith | Family Medicine | 158 Hospital Dr Ste 500, Carthage, TN 37030-1083 | 2017-05-10 |
| 1821419961 | Govathoti Md Services Pllc | Family Medicine | 116 Woodmill Ln, Carthage, TX 75633-2861 | 2013-12-16 |
| 1346684487 | Medstaff PC | Family Medicine | 1129 W Fairview Ave, Carthage, MO 64836-3731 | 2013-04-19 |
| 1679917942 | Medstaff PC | Family Medicine | 1 Leggett Rd, Carthage, MO 64836-9649 | 2013-04-17 |
| 1821386525 | Morlee Burgess | Family Medicine | 133 Hospital Dr Ste 500, Carthage, TN 37030 | 2011-07-14 |
| 1295033595 | Staton Southern Medical, Pllc | Family Medicine | 131 Hospital Drive, Suite 2000, Carthage, TN 37030 | 2011-03-10 |
| 1003006065 | John F Nielsen M D Family Medicine Pa | Family Medicine | 702 Davis St Ste 4, Carthage, TX 75633-1461 | 2007-07-26 |
| 1669514592 | Family Practice Associates, P.c | Family Medicine | 40 Franklin Street, Suite 1, Carthage, NY 13619-1323 | 2007-02-14 |
| 1013086040 | Jim Jason Phillips | Family Medicine | 1410 W Panola St, Carthage, TX 75633-2348 | 2006-11-06 |
| 1215027529 | Roger Mackey Duke | Family Medicine | 131 Hilltop Dr, Carthage, TN 37030-1117 | 2006-10-15 |
| Find all providers in CARTHAGE | ||||
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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.