WILLIAM WYMAN FISKE (NPI# 1780624213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780624213 |
| Entity Type | Individual |
| Full Name | WILLIAM WYMAN FISKE |
| Credential | M.D. |
| Practice Address |
134 Ansel Hallet Rd W Yarmouth MA 02673-2582 |
| Practice Telephone | 5087719779 |
| Mailing Telephone | 5087719779 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2013-05-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 74240 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | J11263 | 01 |
| MA | 110095135A | 05 | |
| MA | RR MEDICARE | P00429633 | 01 |
| Street Address |
134 ANSEL HALLET RD |
| City | W YARMOUTH |
| State | MA |
| Zip Code | 02673-2582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255744496 | Marie Bernay Schreiner | Physician Assistant | 134 Ansel Hallet Rd, W Yarmouth, MA 02673-2582 | 2014-06-05 |
| 1437595006 | Cape Cod Dermatology, LLC | Dermatology | 134 Ansel Hallet Rd, W Yarmouth, MA 02673-2582 | 2013-05-22 |
| 1346505120 | Sasha Danielle Girouard | Dermatology | 134 Ansel Hallet Rd, W Yarmouth, MA 02673-2582 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892434 | Anne Lauren Koch | Dentist | 29 Lewis Bay Blvd, Suite 4, West Yarmouth, MA 02673 | 2018-02-28 |
| 1306358676 | Maggie Pirini | Student in an Organized Health Care Education/Training Program | 47 Colburne Path, West Yarmouth, MA 02673 | 2017-10-26 |
| 1790037703 | Wendy J Hartjen | Technician, Other | 44 Grace Avenue, West Yarmouth, MA 02673 | 2012-10-15 |
| 1881712750 | Gail Haden | Physical Therapy Assistant | 579 Buck Island Road, Yarmouth, MA 02673 | 2007-03-27 |
| 1851486682 | Cape Cod Medical Enterprises Inc | Ambulance | 57 Mid Tech Dr, West Yarmouth, MA 02673 | 2006-10-04 |
| 1588761787 | Professional Endodontics PC | Dentist | 30 Higgins Crowell Road, West Yarmouth, MA 02673 | 2006-09-20 |
| 1154432342 | Joseph Anthony Pare | Social Worker | 572 Route 28 Unit 4, West Yarmouth, MA 02673 | 2006-08-31 |
| 1194831859 | Stacey Anne Locascio | Counselor | 572 Main Street, Pare and Associates, West Yarmouth, MA 02673 | 2006-08-22 |
| 1497718035 | Kathryn M Rudman | Pediatrics | 150 Ansel Hallet Rd, West Yarmouth, MA 02673 | 2006-04-06 |
| 1194794206 | Sharon A Daley | Specialist | 150 Ansel Hallet Road, West Yarmouth, MA 02673 | 2006-03-14 |
| Find all providers in zip 02673 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437595006 | Cape Cod Dermatology, LLC | Dermatology | 134 Ansel Hallet Rd, W Yarmouth, MA 02673-2582 | 2013-05-22 |
| 1346505120 | Sasha Danielle Girouard | Dermatology | 134 Ansel Hallet Rd, W Yarmouth, MA 02673-2582 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| Find all providers with the same taxonomy | ||||
| City | W YARMOUTH |
| Zip Code | 02673 |
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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.