MR. PAUL JOSEPH FISHER III (NPI# 1457697757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457697757 |
| Entity Type | Individual |
| Full Name | MR. PAUL JOSEPH FISHER III |
| Credential | PA-AA |
| Practice Address |
4725 N Federal Hwy Fort Lauderdale FL 33308-4603 |
| Mailing Address |
Po Box 551420 Fort Lauderdale FL 33355-1420 |
| Practice Telephone | 9544935005 |
| Practice Fax Number | 9549380957 |
| Mailing Telephone | 8002433839 |
| Mailing Fax Number | 8558514405 |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2015-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | AA 152 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 008302100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346778560 | Paul Michael Fisher | Surgery | 169 Ashley Ave Rm 202, Charleston, SC 29425-8905 | 2017-06-01 |
| 1114467396 | Paul Fisher | In Home Supportive Care | 200 W Higgins Rd, Suite 332, Schaumburg, IL 60195-3718 | 2017-03-07 |
| 1447622642 | Paul Fisher | Speech-Language Pathologist | 1309 Kempsville Rd, Norfolk, VA 23502-2205 | 2015-10-27 |
| 1659749646 | Paul A Fisher | Counselor | 107 Chesley Dr, Suite 5, Media, PA 19063-1760 | 2015-09-08 |
| 1629322425 | Paul Thomas Fisher | Dentist | 220 Forest Park Dr, Berne, IN 46711-1740 | 2012-10-31 |
| 1780822270 | Paul Fisher | Chiropractor | 930 N York Rd Ste 100, Hinsdale, IL 60521-3595 | 2009-01-22 |
| 1518120229 | Paul Frederick Fisher | Counselor | 2075 E Madison Ave, El Cajon, CA 92019-1108 | 2008-07-03 |
| 1871793026 | Paul W Fisher | Chiropractor | 39284 Paseo Padre Pkwy, Fremont, CA 94538-1616 | 2007-07-24 |
| 1689743940 | Paul Edward Fisher Jr. | Optometrist | 5838 9th Ave N, St Petersburg, FL 33710-6319 | 2006-11-08 |
| 1124125034 | Paul Douglas Fisher | Psychologist | 121 N Concord St, Knoxville, TN 37919-2330 | 2006-09-20 |
| Street Address |
4725 N FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902803067 | Richard M Luceri | Internal Medicine | 4725 N Federal Hwy, Jim Moran Heart Center, Suite 502, Fort Lauderdale, FL 33308-4603 | 2005-07-05 |
| 1285250902 | Suzanne Grace Forum | Nurse Anesthetist, Certified Registered | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-06-18 |
| 1700400439 | Chisom Anyanwoke | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-28 |
| 1508489972 | Stephanie Coriolan Belancourt | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-05-20 |
| 1043833544 | Rachel Fayne | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1952924458 | Mahtab Forouzandeh | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-05-19 |
| 1326667775 | Eduardo Arturo Villa | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| 1629697024 | Yaisa Beatriz Moreno Hernandez | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1063031433 | Ashlyn Elizabeth Reiser | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4668 | 2020-04-15 |
| 1982223236 | Jonathan Paul Amodio | Student in an Organized Health Care Education/Training Program | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2020-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942542352 | Monika Nahori | Anesthesiologist Assistant | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2013-03-24 |
| 1487906046 | Stephanie Marie Raimondi | Anesthesiologist Assistant | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2012-10-08 |
| 1174875074 | Bradley R. Bugher | Anesthesiologist Assistant | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2012-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761798 | Wayleniz Rosario Falero | Anesthesiologist Assistant | 331 Sw 19th Ln, Cape Coral, FL 33991-3784 | 2020-08-18 |
| 1467062943 | George Pappas | Anesthesiologist Assistant | 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 | 2020-08-09 |
| 1821616228 | Katherine Tchir | Anesthesiologist Assistant | 851 Trafalgar Court Suite 200e, Maitland, FL 32751 | 2020-07-12 |
| 1992327308 | Daniel Le Phan | Anesthesiologist Assistant | 800 Prudential Dr Fl 32207, Jacksonville, FL 32207-8202 | 2020-05-08 |
| 1497395412 | Charles Joshua Thrower | Anesthesiologist Assistant | 1 Shircliff Way # Wat, Jacksonville, FL 32204-4748 | 2020-01-07 |
| 1194372227 | Matthew Zachary Laribee | Anesthesiologist Assistant | 7900 N Kendall Dr, Miami, FL 33156-7457 | 2019-08-22 |
| 1659856862 | Ian Michael Durham | Anesthesiologist Assistant | 1 Shircliff Way Fl 32204, Jacksonville, FL 32204-4748 | 2018-10-03 |
| 1386138287 | Stephen Johnson | Anesthesiologist Assistant | 157 Dawn Lauren Ln, Tallahassee, FL 32301-3415 | 2018-06-15 |
| 1164910691 | Heather Berman | Anesthesiologist Assistant | 209 Bristol Ct, Tavernier, FL 33070-2838 | 2018-04-30 |
| 1710437561 | Alyssa Scheidecker | Anesthesiologist Assistant | 12305 Hawthorne View Court, Tampa, FL 33626 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.