DOUGLAS J FISH (NPI# 1285073650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285073650 |
| Entity Type | Individual |
| Full Name | DOUGLAS J FISH |
| Credential | P.A. |
| Practice Address |
630 W 168th St Nyp-columbia Department of Anesthesia, Ph-529 New York NY 10032-3725 |
| Mailing Address |
435 Central Park W Apt 1d New York NY 10025-4377 |
| Practice Telephone | 2123052500 |
| Mailing Telephone | 8023840240 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427544139 | Douglas Norman Fish | Pharmacist | 6552 Starlight Dr, Morrison, CO 80465-2711 | 2018-07-05 |
| 1013909167 | Douglas Grant Fish | Internal Medicine | 66 Hackett Blvd, Albany, NY 12209-1750 | 2005-08-16 |
| Street Address |
630 W 168TH ST NYP-COLUMBIA DEPARTMENT OF ANESTHESIA, PH-529 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-3725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760486377 | Angela Jiyeon Yoon | Dentist | 630 W 168th St, Ph 1562, New York, NY 10032-3702 | 2005-06-10 |
| 1528669793 | Chrissa Pantazis | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-11-04 |
| 1942801410 | Rozalina Abramov | Pharmacist | 630 W 168th St, New York, NY 10032-3725 | 2020-11-02 |
| 1235742438 | Lindsey Root Kus | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1144833344 | William Tyler Marshall | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-08-26 |
| 1619589868 | Swen D Paguia | Student in an Organized Health Care Education/Training Program | 630 W 168th St, New York, NY 10032-3725 | 2020-08-19 |
| 1821600214 | Kirsten Michele Gutlay | Nurse Practitioner | 630 W 168th St, New York, NY 10032-3725 | 2020-08-18 |
| 1356950323 | Emily Russo | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-27 |
| 1780202853 | Cassandra Caroline Johnson | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-07-06 |
| 1831715572 | Nicole Marie Monnecka | Physician Assistant | 630 W 168th St, New York, NY 10032-3725 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1932737574 | Raheej Choudhary | Physician Assistant | 115 Broadway Rm 1300, New York, NY 10006-1600 | 2020-03-30 |
| 1992354534 | Herless S Sun | Physician Assistant | 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 | 2019-09-06 |
| 1134773781 | Kristin Goodkin | Physician Assistant | 170 E 108th St Apt 5, New York, NY 10029-3635 | 2019-07-31 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1366965774 | Christy Mcgorman | Physician Assistant | 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 | 2017-07-18 |
| 1891215562 | Steven Kahler | Physician Assistant | 67 Irving Pl Fl 5, New York, NY 10003-2255 | 2017-06-23 |
| 1255881157 | Ross Joseph Morgan IIi | Physician Assistant | 160 E 56th St Fl T12, New York, NY 10022-3609 | 2016-10-04 |
| 1659723021 | Woo Jung Kim | Physician Assistant | 131 W 35th St Ste 700, New York, NY 10001-2111 | 2016-07-08 |
| 1639538317 | Arielle Romm | Physician Assistant | 928 Broadway Ste 204, New York, NY 10010-8162 | 2016-02-23 |
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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.