MR. KENNETH CLYDE FISCHER (NPI# 1154372506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154372506 |
| Entity Type | Individual |
| Full Name | MR. KENNETH CLYDE FISCHER |
| Credential | MD |
| Practice Address |
1190 Nw 95th St Ste 402 Miami FL 33150 |
| Practice Telephone | 3056967666 |
| Practice Fax Number | 3056940111 |
| Mailing Telephone | 3056967666 |
| Mailing Fax Number | 3056940111 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2010-06-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
ME0024675 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 035837100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457588311 | Kenneth C. Fischer | Psychologist | 17241 Van Buren Blvd, Riverside, CA 92504-5942 | 2009-06-18 |
| 1205884152 | Kenneth J. Fischer | Optometrist | 65-1227 Opelo Rd, Kamuela, HI 96743-8401 | 2006-05-04 |
| 1134131402 | Kenneth Allen Fischer | Plastic Surgery | 1419 Westport Landing Pl, Suite 101, Manhattan, KS 66502-2906 | 2006-08-13 |
| 1982622528 | Kenneth J Fischer | Psychiatry & Neurology | 100 4th St S, Fargo, ND 58103-1929 | 2006-07-18 |
| 1073553244 | Kenneth A. Fischer | Emergency Medicine | 5505 S 900 E Ste 240, Murray, UT 84117-7210 | 2006-06-07 |
| Street Address |
1190 NW 95TH ST STE 402 |
| City | MIAMI |
| State | FL |
| Zip Code | 33150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639179278 | Scott Goldberg | Otolaryngology | 1190 Nw 95th St, # 200, Miami, FL 33150-2063 | 2005-07-26 |
| 1902416142 | Xt9 Corp | Internal Medicine | 1190 Nw 95th St, Suite 301, Miami, FL 33150 | 2020-08-03 |
| 1447719984 | Valerie Simon | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2019-03-14 |
| 1114458122 | Heather Nunnelly | Physician Assistant | 1190 Nw 95th St, Suite 101, Miami, FL 33150-2063 | 2017-03-22 |
| 1427406750 | Marc Guerrier | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-05-26 |
| 1588020010 | Jean-claude Crevecoeur | Nurse Practitioner | 1190 Nw 95th St, Miami, FL 33150-2063 | 2016-01-13 |
| 1700278322 | Eric Zephirin | Podiatrist | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2015-02-19 |
| 1023419991 | Interventional Radiology Specialists of Miami Inc | Radiology | 1190 Nw 95th St, Suite 301, Miami, FL 33150-2063 | 2014-09-10 |
| 1528483476 | Florida Regional Foot and Ankle Specialists Pllc | Assisted Living Facility | 1190 Nw 95th St, Suite 108, Miami, FL 33150-2063 | 2014-03-02 |
| 1033534433 | Luis Mariano Roqueta Sr. | Specialist/Technologist, Other | 1190 Nw 95th St, Ste # 306, Miami, FL 33150-2063 | 2014-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417516600 | Arthur J. Iglesias, M.d. P.a. | Radiology | 1100 N.w. 95th Street, Cancer Center, Miami, FL 33150 | 2019-06-11 |
| 1841714052 | Rebecca Marie-danielle Anozier | Registered Nurse | 479 Nw 83rd St, Miami, FL 33150 | 2017-07-29 |
| 1972023976 | Charlotte Jenies | Behavior Technician | 1080 Nw 85 Th St, Miami, FL 33150 | 2017-06-21 |
| 1528501293 | Aneisha Samuels | Counselor | 291 Nw 104 Street, Miami Shores, FL 33150 | 2016-11-29 |
| 1568824977 | Francia Alexandre | Behavioral Analyst | 320 Nw 99th St, Miami, FL 33150 | 2016-03-24 |
| 1306201710 | Howard Lane | Counselor | 9198 Nw 8th Avenue, Miami, FL 33150 | 2015-12-30 |
| 1134598923 | Borinquen Health Care Center Inc | Clinic/Center | 1175 Nw 67 Street, Holmes Elementary, Miami, FL 33150 | 2015-09-22 |
| 1871988741 | Niveditha Bhaskarla | Psychiatry & Neurology | 1190 Nw 95th St Ste 110, Miami, FL 33150 | 2015-03-30 |
| 1821496852 | Affirming Youth Foundation, Inc. | Voluntary or Charitable | 150 Nw 79 Street, Suite 342, Miami, FL 33150 | 2014-12-08 |
| 1023440930 | Magda Demerritt | Social Worker | 7634 Nw 4th Ave, Miami, FL 33150 | 2013-08-01 |
| Find all providers in zip 33150 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194293324 | Novel Clinical Research Center, LLC | Psychiatry & Neurology | 9000 Sw 137th Ave Ste 211, Miami, FL 33186-1436 | 2018-11-06 |
| 1245722974 | Alex Sabo Do Pa | Psychiatry & Neurology | 1900 N Bayshore Dr Apt 4508, Miami, FL 33132-3025 | 2018-05-30 |
| 1407392194 | Sarah Hughes | Psychiatry & Neurology | 1421 Sw 82nd Ct, Miami, FL 33144-5245 | 2017-01-18 |
| 1801147574 | Neurology and Wellness Center, Inc | Psychiatry & Neurology | 2433 Sw 147th Ave, Miami, FL 33185-4082 | 2012-09-21 |
| 1750672226 | Lindsay Anne Dudeck | Psychiatry & Neurology | 1150 Nw 14th St Suite 207, Miami, FL 33136-2342 | 2011-05-02 |
| 1275847808 | Gelasio Alberto Baras Pier | Psychiatry & Neurology | 11760 Sw 40th St Ste 502, Miami, FL 33175 | 2010-08-06 |
| 1578874657 | Puja Appasaheb Naik | Psychiatry & Neurology | 475 Brickell Ave Apt 5109, Miami, FL 33131-2714 | 2010-06-23 |
| 1477795813 | Joaquin Salustino Maury Ochoa | Psychiatry & Neurology | 8200 Sw 117th Ave Ste 416, Miami, FL 33183-4828 | 2009-03-31 |
| 1124260773 | Mohan Kottapally | Psychiatry & Neurology | 1120 Nw 14th St Fl 13, Ste. 1358, Miami, FL 33136-2107 | 2009-03-28 |
| 1982878815 | Naymee J Velez-ruiz | Psychiatry & Neurology | 1150 Nw 14th Street, Miami, FL 33136-3612 | 2008-04-22 |
| Find all providers in MIAMI | ||||
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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.