MR. KEITH DENTON FISHER (NPI# 1265423107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265423107 |
| Entity Type | Individual |
| Full Name | MR. KEITH DENTON FISHER |
| Credential | M.D. |
| Practice Address |
909 9th Avenue #404 Fort Worth TX 76104-3918 |
| Practice Telephone | 8173321782 |
| Practice Fax Number | 8173368619 |
| Mailing Telephone | 8173321782 |
| Mailing Fax Number | 8173368619 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2017-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
H2374 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| COMMERCIAL INS | 751869812 | 01 | |
| TX | 117768501 | 05 | |
| RAILROAD MEDICARE | 180039966 | 01 | |
| AETNA | 4307768 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497891485 | Keith Paul Fisher | Dentist | 1001 S Market Street, Mechanicsburg, PA 17055-4748 | 2007-01-29 |
| 1033197074 | Keith L Fisher | Pathology | 1114 West Madison Ave, Athens, TN 37371 | 2006-01-09 |
| 1740367101 | Keith S. Fisher | Dentist | 30 Central Park S, Suite 5c, New York, NY 10019-1628 | 2006-11-01 |
| 1124073929 | Keith C. Fisher | Physical Therapist | 1212 Memorial Dr, Suite 1, Manitowoc, WI 54220-2247 | 2006-05-23 |
| 1609866276 | Keith A Fisher | Psychiatry & Neurology | 11124 Wurzbach Rd, Ste 206, San Antonio, TX 78230-2438 | 2005-10-25 |
| Street Address |
909 9TH AVENUE #404 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76104-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154303055 | Retina Consultants Pa | Ophthalmology | 909 9th Avenue, Sutie 404, Fort Worth, TX 76104-3918 | 2005-11-16 |
| 1154312007 | Gary Milton Cowan | Ophthalmology | 909 9th Avenue, #404, Fort Worth, TX 76104-3918 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669082186 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 1115 8th St, Fort Worth, TX 76104 | 2020-08-10 |
| 1992343693 | Iris Giove | Psychologist | John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 | 2019-12-13 |
| 1104480656 | Swarnalaxmi Umapathy | Student in an Organized Health Care Education/Training Program | 900 8th Avenue, Fort Worth, TX 76104 | 2019-04-30 |
| 1881189132 | Mega Surgical Assistants LLC | Specialist/Technologist, Other | 1301pennsylvania, Fort Worth, TX 76104 | 2018-06-28 |
| 1356848899 | Tricia Kelly | Nurse Practitioner | 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 | 2018-04-11 |
| 1952820979 | Modern Vein Clinic | Internal Medicine | 757 8th Avenue, Suite A, Forth Worth, TX 76104 | 2017-09-11 |
| 1790207165 | Vanessa Abbood | Dietitian, Registered | 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 | 2017-07-07 |
| 1922537562 | Nicole Marie Tod | Student in an Organized Health Care Education/Training Program | 1500 S Main Street, Fort Worth, TX 76104 | 2017-06-07 |
| 1770025934 | Micah Bonola | Chiropractor | 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 | 2016-11-04 |
| 1518315894 | United Bioscience, LLC. | Clinical Medical Laboratory | 901 W. Leuda St., B, Fort Worth, TX 76104 | 2016-05-27 |
| Find all providers in zip 76104 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346787157 | Alliance Retina of Texas, Pllc | Ophthalmology | 3824 N Tarrant Pkwy Ste 310, Fort Worth, TX 76244-5431 | 2017-01-31 |
| 1154312007 | Gary Milton Cowan | Ophthalmology | 909 9th Avenue, #404, Fort Worth, TX 76104-3918 | 2005-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093328932 | Elshatory Retina Associates, Pllc | Ophthalmology | 3900 American Dr Ste 103, Plano, TX 75075-6188 | 2020-08-29 |
| 1780294629 | Retina Consultants of Houston Pllc | Ophthalmology | 10907 Memorial Hermann Dr Ste 450, Pearland, TX 77584-4115 | 2020-08-05 |
| 1790393106 | Retina Research Center, Pllc | Ophthalmology | 3705 Medical Pkwy Ste 420, Austin, TX 78705-1023 | 2020-07-21 |
| 1386087443 | Abdualrahman Hamad | Ophthalmology | 2727 Gramercy St Ste 200, Houston, TX 77025-1716 | 2013-04-09 |
| 1174857429 | Enrique Eduardo Calderon | Ophthalmology | 2501 Rr 620 S Ste 130, Lakeway, TX 78734 | 2009-09-18 |
| 1265546170 | Courtney Maurice Crawford | Ophthalmology | 2780 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2006-08-18 |
| 1033183561 | Austin Retina Associates | Ophthalmology | 1180 Seton Pkwy Ste 200, Kyle, TX 78640-6179 | 2006-02-13 |
| 1114999828 | Austin Retina Associates | Ophthalmology | 801 W 38th St Ste 200, Austin, TX 78705-1169 | 2006-02-06 |
| 1518576487 | Courtney Crawford Md Pllc | Ophthalmology | 2780 Sw Wilshire Blvd, Burleson, TX 76028-8338 | 2020-07-27 |
| 1285265660 | Jaafar F El-annan, Md, Pllc | Ophthalmology | 6550 Mapleridge St, Houston, TX 77081-4600 | 2020-02-04 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76104 |
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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.