GARY L FISHER (NPI# 1316906506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316906506 |
| Entity Type | Individual |
| Full Name | GARY L FISHER |
| Credential | DC |
| Practice Address |
2014 N Wayne St Tri State Chiropractic Clinic PC Angola IN 46703-9102 |
| Mailing Address |
2014 N Wayne St Angola IN 46703-9102 |
| Practice Telephone | 2606653106 |
| Mailing Telephone | 2606653106 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08000350 | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM BCBS PIN | 000000240945 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487715652 | Gary Michael Fisher Sr. | Chiropractor | 807 12th St, Tell City, IN 47586 | 2006-12-12 |
| 1902993694 | Gary L Fisher | Dentist | 320 Ne 5th St, Gresham, OR 97030 | 2006-10-06 |
| 1053350264 | Gary Michael Fisher | Dentist | 68 Travis Ave, Staten Island, NY 10314-6231 | 2006-06-05 |
| 1801881875 | Gary A Fisher | Radiology | 1 Norwegian Plz, Pottsville, PA 17901-4400 | 2005-09-15 |
| 1881688513 | Gary Wallace Fisher | Dentist | 1203 E 33rd St, Ste 100, Tulsa, OK 74105-2040 | 2005-09-08 |
| 1225485261 | Gary S Fisher | Psychologist | 11340 W Olympic Blvd, Suite 207, Los Angeles, CA 90064-1608 | 2016-05-19 |
| 1295171346 | Gary Fisher | Counselor | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2013-05-16 |
| 1841510047 | Gary David Fisher | Radiology | 1515 Holcombe Blvd, Houston, TX 77030-4009 | 2010-06-10 |
| 1760598585 | Gary H Fisher | Dentist | 875 E Canal Dr, Suite 8, Turlock, CA 95380 | 2006-08-22 |
| 1144296757 | Gary P. Fisher | Internal Medicine | 5530 Wisconsin Ave, Suite 730, Chevy Chase, MD 20815-4404 | 2006-02-23 |
| Street Address |
2014 N WAYNE ST TRI STATE CHIROPRACTIC CLINIC PC |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703-9102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487633897 | Tri State Chiropractic Clinic PC | Chiropractor | 2014 N Wayne St, Angola, IN 46703-9102 | 2006-01-13 |
| 1841381654 | Tri-state Chiropractic | Chiropractor | 2014 N Wayne St, Angola, IN 46703-9102 | 2006-09-27 |
| 1982663175 | Anthony J Zvirblis | Chiropractor | 2014 N Wayne St, Angola, IN 46703-9102 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617097 | Carolyn Yvonne Davis | Registered Nurse | 909b South Darling Street, Angola, IN 46703 | 2020-01-02 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1578977385 | Amber Joy Richards | Counselor | 200 Hoosier Dr. Suite E, Angola, IN 46703 | 2014-06-19 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1659656155 | Kelly Balyeat | Pharmacist | 2012 North Wayne Street, Angola, IN 46703 | 2011-10-15 |
| 1689843930 | Erin Nicole Culler | Pharmacist | 2290 North Wayne Street, Angola, IN 46703 | 2008-02-20 |
| 1235319963 | J Andrew Stoner | Counselor | 430 N Wayne St, Suite 201, Angola, IN 46703 | 2007-11-09 |
| 1760537658 | Margaret Jean Schreiber | Nurse Practitioner | 103 Intertech Parkway, Suite A, Angola, IN 46703 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
| Find all providers in zip 46703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609350495 | Steuben Family Chiropractic LLC | Chiropractor | 1220 N 200 W Ste G, Angola, IN 46703-9171 | 2018-09-18 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1942724836 | Jamie Lee Fidler | Chiropractor | 114 E Maumee St Ste 101, Angola, IN 46703-1978 | 2017-08-01 |
| 1245421262 | John F Hammel | Chiropractor | 1250 N 290 W, Angola, IN 46703-9004 | 2007-08-06 |
| 1699870436 | Nathaniel John Gasdorf | Chiropractor | 1960 Westwood Dr, Angola, IN 46703-8639 | 2006-09-14 |
| 1083624985 | Robert Eugene Ritenour | Chiropractor | 1440 N 200 W, Suite A, Angola, IN 46703-9170 | 2006-08-09 |
| 1659320778 | Thomas Hale Stevens | Chiropractor | 903 Williams St, Angola, IN 46703-1167 | 2006-05-08 |
| 1487633897 | Tri State Chiropractic Clinic PC | Chiropractor | 2014 N Wayne St, Angola, IN 46703-9102 | 2006-01-13 |
| 1841762663 | Angola Family Chiropractic & Integrative Healing Center, LLC | Chiropractor | 114 E Maumee St Ste 101, Angola, IN 46703-1978 | 2018-12-18 |
| 1760855324 | Stevens Chiropractic Center, PC | Chiropractor | 903 Williams St, Angola, IN 46703-1167 | 2015-11-04 |
| Find all providers in ANGOLA | ||||
Please comment or provide details below to improve the information on GARY L FISHER.
| 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.