JACQUELINE RAY FISHER (NPI# 1023528577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023528577 |
| Entity Type | Individual |
| Full Name | JACQUELINE RAY FISHER |
| Credential | PA-C |
| Practice Address |
6201 Annapolis Rd Landover Hills MD 20784 |
| Mailing Address |
5000 Cox Rd Glen Allen VA 23060-9263 |
| Practice Telephone | 3012763377 |
| Mailing Telephone | 8049685700 |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0006634 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 210153816 | 4105690044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056776 | Jacqueline Fisher | Speech-Language Pathologist | 2900 C Ct, Ashtabula, OH 44004-4575 | 2018-06-12 |
| 1427561653 | Jacqueline Fisher | Specialist/Technologist | 2237 Woodcreek, Carrollton, TX 75006-1911 | 2017-11-09 |
| 1528401213 | Jacqueline Fisher | Dermatology | 8000 5 Mile Rd Ste 260, Cincinnati, OH 45230-2163 | 2013-04-11 |
| 1992940399 | Jacqueline Victoria Fisher | Registered Nurse | 12615 Arlington Ave, Cleveland, OH 44108-2503 | 2008-12-14 |
| 1043406309 | Jacqueline Patricia Louise Fisher | Marriage & Family Therapist | 134 E Hobsonway Ste 5, Blythe, CA 92225-1778 | 2007-09-20 |
| 1417441965 | Jacqueline Fisher | Pediatrics | 1500 E. Medical Center Drive, Medical Professional Building D3238, Ann Arbor, MI 48109 | 2018-06-19 |
| 1669617536 | Jacqueline A. Fisher | Speech-Language Pathologist | 280 Dobbs Ferry Rd, Suite #203, White Plains, NY 10607-1900 | 2008-12-08 |
| 1295958379 | Jacqueline K Fisher | Nurse Practitioner | 1429 N 6th St, Terre Haute, IN 47807-1037 | 2007-04-10 |
| 1497870497 | Jacqueline Michelle Fisher | Technician, Other | 2017 Stonebrook Pl, Kingsport, TN 37660 | 2007-03-20 |
| Street Address |
6201 ANNAPOLIS RD |
| City | LANDOVER HILLS |
| State | MD |
| Zip Code | 20784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992740146 | Khanh Kim Nguyen | Family Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2006-06-19 |
| 1841728979 | Patient First Maryland Medical Group Pllc | Family Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2017-06-02 |
| 1801250634 | James Gray IIi | Family Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2016-04-07 |
| 1972964393 | Marla Deana Rejbi | Internal Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2016-03-12 |
| 1801262712 | Shekayla C Hooks | Registered Nurse | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2015-08-14 |
| 1922487198 | Maziar Sadri | Internal Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784 | 2015-05-21 |
| 1750726709 | Maryann Ancheta Ifurung | Family Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2013-05-03 |
| 1750627386 | Oniqua D Bradwell | Physician Assistant | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2013-01-01 |
| 1063706281 | Doria Elizabeth Thomas | Family Medicine | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2011-06-06 |
| 1154614394 | Richard A Sampong | Physician Assistant | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2011-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831731363 | Detos Services LLC | Ambulance | 7609 Fontainebleau Drive, #2213, New Carrollton, MD 20784 | 2019-10-16 |
| 1649742263 | Nelson Ngang | Registered Nurse | 6611 Stanton Road, Hyattsville, MD 20784 | 2018-12-20 |
| 1497222152 | Relindis Lum Asangong | Home Health Aide | 5393 Quincy Street, Hyattville, MD 20784 | 2018-10-30 |
| 1801378278 | Reward Oruomachukwu Ezeogu Sr. | Home Health Aide | 3410 55th Avenue Apt 403, Hyattsville, MD 20784 | 2018-09-03 |
| 1417439118 | Lesly Teke Agwenjang | Home Health Aide | 5201 Quincy Street, Apt B2, Blandesburg, MD 20784 | 2018-08-30 |
| 1457839003 | Oluwafunbi Olafusi | Home Health Aide | 5337 85th Ave Apt 13, New Carrollton, MD 20784 | 2018-08-04 |
| 1427542000 | Richard Earl Ballard Jr. | Counselor | Site Office: Charles Carroll Ms 6130 Lamont Drive, C/o Ms. Claudia B.-walter, Fbcog- Ceo for Son Rise Cc&i, New Carrollton, MD 20784 | 2018-06-18 |
| 1225530272 | Tamba Biango | Home Health Aide | 4066 Warner Ave C5, Hyattsville, MD 20784 | 2018-03-06 |
| 1356867410 | Boris Acha Acha | Home Health Aide | 3512 54th Avenue, Hyattsville, MD 20784 | 2017-08-20 |
| 1144744707 | Patient First Maryland Medical Group Pllc | Non-Pharmacy Dispensing Site | 6201 Annapolis Road, Landover Hills, MD 20784 | 2017-07-26 |
| Find all providers in zip 20784 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154614394 | Richard A Sampong | Physician Assistant | 6201 Annapolis Rd, Landover Hills, MD 20784-1307 | 2011-05-20 |
| 1285943688 | Andria Maxine Wiggins | Physician Assistant | 7711 Garrison Rd, Landover Hills, MD 20784-1756 | 2010-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659325 | Stephanie Liss | Physician Assistant | 1003 Willowleaf Way, Potomac, MD 20854-2937 | 2020-11-05 |
| 1306447495 | Naftali Zapinsky | Physician Assistant | 3507 Labyrinth Rd, Baltimore, MD 21215-1731 | 2020-11-04 |
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1982204160 | Bich-hanh Le | Physician Assistant | 16328 Decker Pl, Derwood, MD 20855-2181 | 2020-10-28 |
| 1972102416 | Francesca Mertan | Physician Assistant | 829 Concorde Cir Apt 4402, Linthicum Heights, MD 21090-1780 | 2020-10-24 |
| 1235738683 | Ester Dahee Kim | Physician Assistant | 2400 W Belvedere Ave, Baltimore, MD 21215-5216 | 2020-10-17 |
| 1245838804 | Erin Washington | Physician Assistant | 2708 Tallowtree Rd, Woodstock, MD 21163-1462 | 2020-10-15 |
| 1669070991 | Niklavs Peteris Eglitis | Physician Assistant | 905 Paulsboro Dr, Rockville, MD 20850-3027 | 2020-10-09 |
| 1922605583 | Kurt William Moulton | Physician Assistant | Health Center At Ward and West 8000 York Rd, Towson, MD 21252-0001 | 2020-10-07 |
| 1215541404 | Aaron Mccauley | Physician Assistant | 3 Dunhaven Pl Apt 2d, Nottingham, MD 21236-3161 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | LANDOVER HILLS |
| Zip Code | 20784 |
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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.