Rowan Fish (NPI# 1750440913, PAC ID# 1456476175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1750440913 |
| PAC ID by PECOS | 1456476175 |
| Professional Enrollment ID | I20100917000237 |
| Full Name | Rowan Fish |
| Organization Legal Name | ALICE HYDE MEDICAL CENTER |
| Address |
969 State Rt Moira NY 12957 |
| Phone Number | 5185297847 |
| Gender | M |
| Medical School | MCGILL UNIVERSITY FACULTY OF DENTISTRY |
| Graduation Year | 1974 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 4082525837 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330084 | ALICE HYDE MEDICAL CENTER |
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| Address | Phone | Organization |
|---|---|---|
| 133 Park St, Malone, NY 12953-1243 | ALICE HYDE MEDICAL CENTER | |
| 134 Park St, Malone, NY 12953-1251 | ALICE HYDE MEDICAL CENTER | |
| 16 3rd St A, Malone, NY 12953-1305 | 5184812870 | ALICE HYDE MEDICAL CENTER |
| 16 3rd St B, Malone, NY 12953-1305 | 5184812870 | ALICE HYDE MEDICAL CENTER |
| 16 4th St C, Malone, NY 12953-1340 | 5184812896 | ALICE HYDE MEDICAL CENTER |
| 183 Park St, Malone, NY 12953-1238 | ALICE HYDE MEDICAL CENTER | |
| 187 Park St, Malone, NY 12953-1233 | 5184812790 | ALICE HYDE MEDICAL CENTER |
| 187 Park St, Suite 2, Malone, NY 12953-1233 | 5184812790 | ALICE HYDE MEDICAL CENTER |
| 20 4th St, Malone, NY 12953-1339 | 5184812677 | ALICE HYDE MEDICAL CENTER |
| 20 4th St, Suite 2, Malone, NY 12953-1339 | 5184812677 | ALICE HYDE MEDICAL CENTER |
| 23 4th St, Malone, NY 12953-1331 | 5184812880 | ALICE HYDE MEDICAL CENTER |
| 23 Forth St, Malone, NY 12953-1238 | 5184818080 | ALICE HYDE MEDICAL CENTER |
| 23 Forth St, Suite 1, Malone, NY 12953-1238 | 5184818080 | ALICE HYDE MEDICAL CENTER |
| 24 4th St, Malone, NY 12953-1350 | 5184812632 | ALICE HYDE MEDICAL CENTER |
| 24 4th St, Suite 4, Malone, NY 12953-1350 | 5184812632 | ALICE HYDE MEDICAL CENTER |
| 45 6th St, Malone, NY 12953-1246 | 5184818000 | ALICE HYDE MEDICAL CENTER |
| 969 State Rt, Moira, NY 12957 | 5185297847 | ALICE HYDE MEDICAL CENTER |
| 969 State Rt, Suite 11, Moira, NY 12957 | 5185297847 | ALICE HYDE MEDICAL CENTER |
| Organization Legal Name | ALICE HYDE MEDICAL CENTER |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan E Gagner | Certified Nurse Midwife (cnm) | Alice Hyde Medical Center | 16 3rd St A, Malone, NY 12953-1305 |
| Rodolfo L Dy | General Surgery | Alice Hyde Medical Center | 16 3rd St B, Malone, NY 12953-1305 |
| Steven Shamosh | Internal Medicine | Alice Hyde Medical Center | 183 Park St, Malone, NY 12953-1238 |
| Sarah A Moore | Physician Assistant | Alice Hyde Medical Center | 24 4th St, Suite 4, Malone, NY 12953-1350 |
| Joseph E Robinson | Family Medicine | Alice Hyde Medical Center | 45 6th St, Malone, NY 12953-1246 |
| Kathleen Lauzon | Nurse Practitioner | Alice Hyde Medical Center | 577 County Route 1, Fort Covington, NY 12937-2805 |
| Anne E Mcilhenny | Registered Dietitian Or Nutrition Professional | Alice Hyde Medical Center | 20 4th St, Malone, NY 12953-1339 |
| Mia Ross | Nurse Practitioner | Alice Hyde Medical Center | 23 4th St, Suite 1, Malone, NY 12953-1331 |
| Myrna A Sanchez | Internal Medicine | Alice Hyde Medical Center | 187 Park St, Suite 2, Malone, NY 12953-1233 |
| Kristen M Green | Physician Assistant | Alice Hyde Medical Center | 134 Park St, Malone, NY 12953-1251 |
| Street Address |
969 STATE RT |
| City | MOIRA |
| State | NY |
| Zip | 12957 |
| City | MOIRA |
| Zip Code | 12957 |
| Specialty | DERMATOLOGY |
| City + Specialty | MOIRA + DERMATOLOGY |
Please comment or provide details below to improve the information on Rowan Fish.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.