PEGGY O FISCHER (NPI# 1013388958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013388958 |
| Entity Type | Individual |
| Full Name | PEGGY O FISCHER |
| Credential | NP |
| Practice Address |
2930 W Cleveland Rd South Bend IN 46628-6090 |
| Mailing Address |
1222 S Patterson Blvd Ste 400 Dayton OH 45402-2642 |
| Practice Telephone | 5743358450 |
| Practice Fax Number | 5743350780 |
| Mailing Telephone | 9374962620 |
| Mailing Fax Number | 9374248518 |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2018-06-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71005954A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 28112810A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201337020 | 05 | |
| IN | RR MEDICARE | P01726912 | 01 |
| IN | MEDICARE | 187720029 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5218 Beck Dr Ste 12, Elkhart, IN 465169132 | 5743357700 | 5743350737 |
| Street Address |
2930 W CLEVELAND RD |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-6090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881696383 | Frank V. Murphy | Family Medicine | 2930 W Cleveland Rd, South Bend, IN 46628-6090 | 2005-08-15 |
| 1760629307 | Shamiram Badal | Family Medicine | 2930 W Cleveland Rd, South Bend, IN 46628-6090 | 2009-01-20 |
| 1437191665 | Michael Helms | Family Medicine | 2930 W Cleveland Rd, South Bend, IN 46628-6090 | 2006-06-12 |
| 1104863679 | Richard A Stoldt | Family Medicine | 2930 W Cleveland Rd, South Bend, IN 46628-6090 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| Find all providers in zip 46628 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574013 | Hellen Gathesha | Nurse Practitioner | 2123 W Irvington Dr, South Bend, IN 46614 | 2020-06-30 |
| 1073042024 | Emilee Tehrani | Nurse Practitioner | 621 Memorial Dr Ste 512, South Bend, IN 46601-1075 | 2017-06-05 |
| 1952836884 | Ryan Ford | Nurse Practitioner | 2301 N Bendix Dr Ste 500, South Bend, IN 46628-3488 | 2017-04-28 |
| 1124563614 | Alexandrea Burnett | Nurse Practitioner | 211 N. Eddy St., South Bend, IN 46617-3096 | 2016-12-20 |
| 1265700090 | Gregory George Bingaman | Nurse Practitioner | 710 N Niles Ave, South Bend, IN 46617-1924 | 2011-12-07 |
| 1679768774 | Kyra Dee Tatman | Nurse Practitioner | 615 N Michigan St Ste 502, South Bend, IN 46601-1033 | 2007-09-11 |
| 1386686996 | Rhonda Y Griffiths | Nurse Practitioner | 234 Chapin St, Suite I, South Bend, IN 46601-2570 | 2006-06-11 |
| 1083665673 | Beacon Medical Group, Inc. | Nurse Practitioner | 926 Erskine Plz, South Bend, IN 46614-3244 | 2006-05-16 |
| 1699763409 | Patricia Ann Corbett | Nurse Practitioner | 1708 High St, South Bend, IN 46613-2633 | 2005-10-06 |
| 1760082002 | Nicole A Scheidler | Nurse Practitioner | 211 N Eddy St, South Bend, IN 46617-3096 | 2020-10-27 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on PEGGY O FISCHER.
| 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.