DR. CASEY FISHER (NPI# 1669897500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669897500 |
| Entity Type | Individual |
| Full Name | DR. CASEY FISHER |
| Credential | DO |
| Practice Address |
3366 Oakdale Ave N Ste 150 Robbinsdale MN 55422-2978 |
| Mailing Address |
4190 City Ave Philadelphia PA 19131-1626 |
| Practice Telephone | 7632335755 |
| Mailing Telephone | 7632181922 |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2019-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
64979 | MN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4190 City Ave, Philadelphia, PA 191311626 | 7632181922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083185953 | Casey Ryan Fisher | Specialist/Technologist, Other | 101 Housefinch Loop, Leander, TX 78641-1961 | 2018-12-17 |
| 1831647973 | Casey A Fisher | Nurse Anesthetist, Certified Registered | 875 8th St Ne, Anesthesia Department, Massillon, OH 44646-8503 | 2016-09-19 |
| 1912209263 | Casey Jane Fisher | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2010-11-18 |
| 1366694184 | Casey Michelle Fisher | Licensed Practical Nurse | 1 Medical Center Blvd, Chester, PA 19013-3902 | 2008-10-13 |
| 1275780686 | Casey Fisher | Physical Medicine & Rehabilitation | 3142 Vista Way Ste 207, Oceanside, CA 92056-3628 | 2008-08-27 |
| Street Address |
3366 OAKDALE AVE N STE 150 |
| City | ROBBINSDALE |
| State | MN |
| Zip Code | 55422-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275707572 | Joshua Yorgason | Otolaryngology | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2961 | 2008-04-17 |
| 1124505318 | Ashley Nicole Johnson | Audiologist | 3366 Oakdale Ave N Ste 150, Robbinsdale, MN 55422-2961 | 2018-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154966794 | Trevor Velin | Chiropractor | Robin Center Chiropractic, Pa, 4080 W Broadway Ave, 310, Robbinsdale, MN 55422 | 2019-11-07 |
| 1780165134 | American Current Care of Minnesota PC | Clinic/Center | 4080 W Broadway Ave Ste 200, Robbinsdale, MN 55422 | 2018-08-23 |
| 1366928426 | Creekside Family Dental Pllc | Dentist | Giebenhain Dental Associates, P.a., 5851 Duluth Street # 103, Golden Valley, MN 55422 | 2018-07-12 |
| 1497249536 | Luke Utecht | Psychologist | 4150 Olson Memorial Hwy, Suite 420, Golden Valley, MN 55422 | 2018-06-21 |
| 1821582115 | Ajaa Oliver | Registered Nurse | 3606 Zenith Ave N, Robbinsdale, MN 55422 | 2018-06-19 |
| 1306348024 | Leila Jean Erlandson | Marriage & Family Therapist | Golden Valley Executive Center, 4284 Dahlberg Drive, Golden Valley, MN 55422 | 2018-03-08 |
| 1467969907 | Minneapolis Health Clinic Pllc | Internal Medicine | 4825 Olson Memorial Hwy., Suite 101, Golden Valley, MN 55422 | 2018-01-05 |
| 1275049116 | Lake Town Homecare, LLC | In Home Supportive Care | 4119 Scott Ave N, Robbinsdale, MN 55422 | 2017-12-14 |
| 1750894002 | Unihealth Home Care, LLC | Home Health | 1710 Douglas Dr N Ste 226j, Golden Valley, MN 55422 | 2017-11-08 |
| 1194172296 | Crosscultural Health Care Inc | Home Health | 5801 Duluth Street Suite 310, Golden Valley, MN 55422 | 2016-05-18 |
| Find all providers in zip 55422 | ||||
| Taxonomy Code | 207YS0123X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Facial Plastic Surgery |
| An otolaryngologist who specializes in facial plastic surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427493485 | Ronald J Schroeder II | Otolaryngology | 2080 Woodwinds Dr Ste 220, Woodbury, MN 55125-2529 | 2013-05-05 |
| 1851518674 | Edward Henry Szachowicz | Otolaryngology | 7373 France Av. So., Suite #508, Edina, MN 55435-4549 | 2007-04-20 |
| 1306842711 | Rick Lee Nissen | Otolaryngology | 8714 Lyndale Ave S, Minneapolis, MN 55420-2738 | 2005-06-22 |
| 1316212632 | Brett James Baldwin | Otolaryngology | 1421 Premier Dr, Mankato, MN 56001-6076 | 2012-03-20 |
| 1891089850 | Nathan Daniel Johnson | Otolaryngology | 2211 Park Ave, Minneapolis, MN 55404-3711 | 2011-06-07 |
| 1265583652 | Kurtis A. Waters, M.d., P.a. | Otolaryngology | 13359 Isle Dr, Suite 1, Baxter, MN 56425-2221 | 2007-01-15 |
| 1043256357 | Christopher John Tolan | Otolaryngology | 2080 Woodwinds Drive, #240, Woodbury, MN 55125 | 2006-06-22 |
| 1194775429 | Michael D Peters | Otolaryngology | 9825 Hospital Dr, Suite Ll-10, Maple Grove, MN 55369-4479 | 2006-05-10 |
| City | ROBBINSDALE |
| Zip Code | 55422 |
Please comment or provide details below to improve the information on DR. CASEY 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.