KYLE FISHER (NPI# 1760021158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760021158 |
| Entity Type | Individual |
| Full Name | KYLE FISHER |
| Credential | ATC |
| Practice Address |
101 N College Ave Annville PA 17003-1404 |
| Practice Telephone | 7178676880 |
| Enumeration Date | 2020-01-02 |
| Last Update Date | 2020-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083S0010X |
Preventive Medicine Specialization: Sports Medicine |
RTO000469 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417434069 | Kyle Mason Fisher | Anesthesiology | Duke Univeristy Hospital Anesthesia Department, Durham, NC 27710-0001 | 2018-07-26 |
| 1215145040 | Kyle W. Fisher | Otolaryngology | 1650 Huntingdon Pike Ste 223, Meadowbrook, PA 19046-8006 | 2007-05-17 |
| 1053424416 | Kyle S Fisher | Anesthesiology | 895 State Farm Rd Ste 401, Boone, NC 28607-4917 | 2006-08-17 |
| 1396346730 | Kyle Fisher | Physician Assistant | 3920 W Wheatland Rd Ste 140, Dallas, TX 75237-3404 | 2020-11-03 |
| 1568926780 | Kyle Fisher | Behavioral Analyst | 1025 Atlantic Ave, Alameda, CA 94501-1189 | 2019-01-23 |
| 1528543550 | Kyle Fisher | Counselor | 10293 N Meridian St Ste 180, Indianapolis, IN 46290-1073 | 2018-09-25 |
| 1124471479 | Kyle Fisher | Specialist/Technologist | 1098 W Main St, Lewisville, TX 75067-3518 | 2016-07-21 |
| 1194191924 | Kyle Fisher | Physical Therapist | 4650 Wycliffe Country Club Blvd, Lake Worth, FL 33449-8151 | 2015-08-17 |
| Street Address |
101 N COLLEGE AVE |
| City | ANNVILLE |
| State | PA |
| Zip Code | 17003-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750318358 | James E. Stark | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1404 | 2006-06-27 |
| 1104451624 | Trevor James Loyd | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1400 | 2020-03-04 |
| 1811549686 | Olivia Marie Dixon | Student in an Organized Health Care Education/Training Program | 101 N College Ave, Annville, PA 17003-1404 | 2019-07-11 |
| 1164074258 | Matthew Weck | Student in an Organized Health Care Education/Training Program | 101 N College Ave, Annville, PA 17003-1404 | 2019-07-10 |
| 1073165163 | Samuel Grillo | Student in an Organized Health Care Education/Training Program | 101 N College Ave, Annville, PA 17003-1404 | 2019-07-10 |
| 1629564174 | Victoria Anne Bydeley | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1404 | 2018-07-09 |
| 1841786381 | Josh Eaton | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1404 | 2018-07-09 |
| 1720574270 | Michael Dueck | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1400 | 2018-07-09 |
| 1639665185 | Tasia Dennis | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1400 | 2018-07-09 |
| 1194219170 | Megan Streisel | Specialist/Technologist | 101 N College Ave, Annville, PA 17003-1404 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145823 | Jolene Richardson | Social Worker | 1-23 O'neil St, Annville, PA 17003 | 2020-08-17 |
| 1457849556 | Kimbrough Acc Military Mtf | Pharmacy | Ft Indiantown Gap, Bldg 4-114, Annville, PA 17003 | 2018-04-25 |
| 1467782664 | Brennan Chiropractic PC | Chiropractor | 648 E Main St, Annville, PA 17003 | 2010-01-11 |
| 1417163114 | Kimbrough Acc Military Mtf | Clinic/Center | 1999 Fisher Ave, Fort Indiantown Gap, Annville, PA 17003 | 2007-05-16 |
| 1124119490 | Silverman Dental Associates PC | Dentist | One Jasons Way, Annville, PA 17003 | 2006-09-28 |
| 1922069871 | Timothy Joseph Brennan | Chiropractor | 648 E Main Street, Annville, PA 17003 | 2006-03-30 |
| 1578544466 | Brian P. Harrity | Physician Assistant | Building 11-59, Ftig, Annville, PA 17003 | 2005-11-08 |
| 1467072553 | Wellspan Medical Group | Emergency Medicine | 9 Nathan Lane, Annville, PA 17003 | 2020-04-20 |
| 1700154325 | The Pennsylvania State University College of Medicine | General Acute Care Hospital | 500 University Drive, Hershey, PA 17003 | 2011-12-09 |
| 1063421071 | Brian Scott Delong | Specialist | 1251 E Main St, Annville, PA 17003 | 2006-08-07 |
| Find all providers in zip 17003 | ||||
| Taxonomy Code | 2083S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Sports Medicine |
| A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628086 | Janele Allison Wolbert | Preventive Medicine | 434 Montpelier Ave, Erie, PA 16505-1523 | 2019-09-18 |
| 1871008490 | Diane Boyce | Preventive Medicine | Bucknell University, Moore Ave., Klarc Gym, Lewisburg, PA 17837-1783 | 2017-12-05 |
| 1700302858 | Daniel S Hensley | Preventive Medicine | 201 Grampian Blvd, Williamsport, PA 17701-1813 | 2017-08-21 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1952318859 | Tracy William Ross | Preventive Medicine | South 4th Street, Denver, PA 17517-0800 | 2006-08-02 |
| 1043275928 | Joseph Michael Borysowski | Preventive Medicine | 717 E High St, Pottstown, PA 19464-5770 | 2006-04-20 |
| 1316594674 | Kayleigh Wagner | Preventive Medicine | 501 W 12th St, Erie, PA 16501-1536 | 2019-08-21 |
| 1568027050 | Aubrie Ann Stouffer | Preventive Medicine | 801 Ostrum St, Fountain Hill, PA 18015-1000 | 2019-05-09 |
| 1780158121 | Larissa J Roberts | Preventive Medicine | 410 Pellis Rd, Greensburg, PA 15601-4700 | 2019-01-18 |
| 1447419536 | Medical Associates of Erie | Preventive Medicine | 5515 Peach St, Erie, PA 16509-2603 | 2008-06-04 |
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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.