DR. CHARLES E. FISKE (NPI# 1013900331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013900331 |
| Entity Type | Individual |
| Full Name | DR. CHARLES E. FISKE |
| Credential | M.D. |
| Practice Address |
411 30th St #508 Oakland CA 94609-3310 |
| Practice Telephone | 9252744950 |
| Practice Fax Number | 9252744975 |
| Mailing Telephone | 9252744950 |
| Mailing Fax Number | 9252744975 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
G35057 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
411 30TH ST #508 |
| City | OAKLAND |
| State | CA |
| Zip Code | 94609-3310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588656847 | Philip Young-suh Chyu | Radiology | 411 30th St, #508, Oakland, CA 94609 | 2005-08-22 |
| 1841724218 | Jennifer Lynne Stanley | Internal Medicine | 411 30th St, Oakland, CA 94609-3310 | 2017-04-12 |
| 1558702886 | Catherine Yen Lowder | Acupuncturist | 411 30th St, Suite 308, Oakland, CA 94609-3310 | 2013-07-15 |
| 1760740468 | East Bay Family Institute | Psychologist | 411 30th St, 305, Oakland, CA 94609-3310 | 2012-05-01 |
| 1659648905 | Gretchen Ann Thompson | Case Manager/Care Coordinator | 411 30th St, Suite 303, Oakland, CA 94609-3310 | 2011-11-30 |
| 1174842835 | Wade R. Cartwright M.d. A Professional Corporation | Otolaryngology | 411 30th St, Suite 401, Oakland, CA 94609-3310 | 2010-05-20 |
| 1912229097 | Taylor Beebe | Counselor | 411 30th St, Oakland, CA 94609-3310 | 2010-02-17 |
| 1750612552 | Ruby Elmer | Counselor | 411 30th St, Oakland, CA 94609-3310 | 2010-01-19 |
| 1619206877 | Tasia Holland | Specialist | 411 30th St, Oakland, CA 94609-3310 | 2009-12-17 |
| 1518108794 | Deborah L Sullivan | Registered Nurse | 411 30th St, Oakland, CA 94609-3310 | 2009-03-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457159 | Gerard John-charles Coughlin | Student in an Organized Health Care Education/Training Program | Samuel Merritt University, 3100 Telegraph Avenue, Oakland, CA 94609 | 2020-01-29 |
| 1417502022 | Michael Knittel | Registered Nurse | 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1962057562 | Nicole Kjolby | Registered Nurse | Samuel Merritt College, 370 Hawthorne Ave, Oakland, CA 94609 | 2019-08-09 |
| 1396208286 | Graham Vallis | Student in an Organized Health Care Education/Training Program | Ucsf Benioff Children's Hospital Oakland, 747 52nd Street, Oakland, CA 94609 | 2019-04-09 |
| 1386129526 | Gary Mitchell Snider | Counselor | 390 40th Street, Oakland, CA 94609 | 2018-10-02 |
| 1720568389 | Lice Control Inc. | Technician | 6557 Shattuck Ave, Oakland, CA 94609 | 2018-08-14 |
| 1528559150 | Jenna Marie Kincaid | Behavior Technician | 400 29th St., 204, Oakland, CA 94609 | 2018-05-18 |
| 1336656669 | Nicholas Dicarlo | Social Worker | 465 34th St Ste 6, Oakland, CA 94609 | 2018-01-09 |
| 1174045744 | Theodora J Marzouk | Home Health Aide | 3317 Elm Street, Suite 202, Oakland, CA 94609 | 2017-07-14 |
| 1740728922 | Elena Gardella | Marriage & Family Therapist | 411 30th Street, Suite 412, Oakland, CA 94609 | 2017-02-07 |
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| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164751541 | Dennis R Hill Md Professional Corporation | Radiology | 3012 Summit St # 2675, Oakland, CA 94609-3480 | 2009-12-15 |
| 1255329637 | John R Salzman Md Inc | Radiology | 450 30th St, Dept G800, Oakland, CA 94609-3302 | 2005-10-11 |
| 1003002718 | Trang H. La | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2007-09-18 |
| 1063590859 | Jason F. Kelly | Radiology | 275 W Macarthur, Oakland, CA 94611-5641 | 2006-11-01 |
| 1457349342 | John Richard Salzman | Radiology | 450 30th St, Dept G800, Oakland, CA 94609-3302 | 2005-10-13 |
| 1932192242 | Michael J. Faer | Radiology | 411 30th St, #508, Oakland, CA 94609-3310 | 2005-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154933034 | Andrew Lim | Radiology | 200 Medical Plaza Driveway Suite B265, Los Angeles, CA 90095-0001 | 2020-08-20 |
| 1083275200 | Centerpoint Radiation Oncology, Inc. | Radiology | 8929 Wilshire Blvd Ste 100, Beverly Hills, CA 90211-1950 | 2019-06-27 |
| 1922450840 | Cynthia Bajada Chasan | Radiology | 7401 Vista Del Mar Ave, La Jolla, CA 92037-4954 | 2016-07-02 |
| 1871906396 | Sammy Mohamed Ashouri | Radiology | 300 Pasteur Dr Rm H1330, Stanford, CA 94305 | 2014-06-03 |
| 1235540469 | Julian C Hong | Radiology | 1825 4th St Rm M2260, San Francisco, CA 94143-2350 | 2014-05-09 |
| 1295155422 | Rishabh Chaudhari | Radiology | 880 E Tuolumne Rd Ste 101, Turlock, CA 95382-1549 | 2014-04-28 |
| 1407278211 | Vincent S. T. Cheng | Radiology | 6022 W Sweet Dr, Visalia, CA 93291-8924 | 2014-01-13 |
| 1487085221 | Peter Allison Austin | Radiology | 1655 Aspen Grove Ln, Diamond Bar, CA 91765-2953 | 2013-12-04 |
| 1760820666 | Sandra Birdwell | Radiology | 1865 Camino De Los Robles, Menlo Park, CA 94025-5912 | 2013-06-13 |
| 1063859874 | John Vidyadhar Hegde | Radiology | Ucla Medical Center Department of Radiation, 200 Ucla Medical Center, Suite B265, Los Angeles, CA 90095-0001 | 2013-06-03 |
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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.