MR. MARK THOMAS FISCHER (NPI# 1821263401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821263401 |
| Entity Type | Individual |
| Full Name | MR. MARK THOMAS FISCHER |
| Credential | LADC |
| Practice Address |
808 7th Ave N Apt 4 Princeton MN 55371-1241 |
| Mailing Address |
105 6th Ave S Princeton MN 55371-1819 |
| Practice Telephone | 3207602264 |
| Mailing Telephone | 7633080006 |
| Mailing Fax Number | 7636310339 |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
302700 | MN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639520190 | Mark Alan Fischer | Pharmacist | W17877 Long Point Rd, Germfask, MI 49836-9205 | 2016-06-27 |
| 1194138230 | Mark Fischer | Marriage & Family Therapist | 627 Lenox Rd, Richmond, MA 01254-5260 | 2014-06-06 |
| 1164452017 | Mark Edward Fischer | Dentist | 500 Route 1, Suite 1, Yarmouth, ME 04096-4711 | 2006-07-04 |
| 1073870366 | Mark A Fischer | Psychiatry & Neurology | 404 S Main St, Sycamore, IL 60178-2229 | 2012-04-12 |
| 1740568831 | Mark Fischer | Dentist | 319 N Ankeny Blvd, Ankeny, IA 50023-1711 | 2011-07-25 |
| 1770794927 | Mark Fischer | Optometrist | 5195 Wadsworth Blvd, Arvada, CO 80002-4617 | 2007-05-26 |
| 1801807177 | Mark Donald Fischer | Orthopaedic Surgery | 3366 Oakdale Ave N, Suite 103, Robbinsdale, MN 55422-2948 | 2006-08-11 |
| 1457376873 | Mark D Fischer | Internal Medicine | 1112 Caroline St, Port Angeles, WA 98362-4204 | 2006-07-13 |
| 1669415782 | Mark B. Fischer | Family Medicine | 4070 Butler Pike, Suite 200, Plymouth Meeting, PA 19462-1556 | 2006-06-14 |
| 1972501617 | Mark W Fischer | Urology | 1118 Ross Clark Cir, 500, Dothan, AL 36301-3001 | 2005-07-07 |
| Street Address |
808 7TH AVE N APT 4 |
| City | PRINCETON |
| State | MN |
| Zip Code | 55371-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053962530 | Monica Gail Broten | Technician | 30840 Tiger Street Nw, Princeton, MN 55371 | 2019-09-25 |
| 1215349584 | Stephen Destefano | Pharmacist | 31419 131st Street, Princeton, MN 55371 | 2014-05-21 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1568752533 | Rum River Health Services, Inc. | Substance Abuse Rehabilitation Facility | 3079 90th Avenue, Princeton, MN 55371 | 2011-04-12 |
| 1780989038 | Dr. Kynan Westermeyer, Dds, Pllc | Clinic/Center | 404 1st St. N, Princeton, MN 55371 | 2011-01-18 |
| 1275788085 | Cody James Leff | Pharmacist | 1100 11th Avenue South, Princeton, MN 55371 | 2008-11-20 |
| 1164679213 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1101 N 5th St, Princeton, MN 55371 | 2008-08-20 |
| 1801059639 | Rum River Health Services, Inc | Substance Abuse Rehabilitation Facility | 1506 1st Street, Princeton, MN 55371 | 2008-07-02 |
| 1497940928 | James Michael Mandt | Pharmacist | 911 Northland Drive, Fairview Northland Medical Center, Princeton, MN 55371 | 2007-09-07 |
| Find all providers in zip 55371 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595564 | John Harlan Daniels | Counselor | 1982 Woodard Rd, Princeton, NC 27569-8315 | 2020-10-14 |
| 1366913204 | Misty Amber Cadle | Counselor | 108 Morrison Dr, Princeton, WV 24740-2322 | 2018-12-17 |
| 1477055812 | Ruth Ann Homer | Counselor | 10 Forrestal Rd S Ste 203, Princeton, NJ 08540-6666 | 2018-03-01 |
| 1043572647 | Ana Guerra | Counselor | 812 State Rd Ste 206, Princeton, NJ 08540-1400 | 2012-06-11 |
| 1164798948 | Andrew Sudbeck | Counselor | 101 18th Avenue North, Princeton, MN 55371 | 2012-03-27 |
| 1275801144 | Mary Ann Godefroy | Counselor | 17 Chestnut Street, Princeton, NJ 08542 | 2011-12-07 |
| 1639458607 | Pierina Thayer | Counselor | 40 Witherspoon Street, Princeton, NJ 08542 | 2011-08-09 |
| 1912212762 | Anna Murawska | Counselor | 145 Witherspoon Str, Suite A4, Princeton, NJ 08542-3228 | 2010-08-17 |
| 1740500255 | Jessica N Caraballo | Counselor | 401 Peter Dana Point Rd, Princeton, ME 04668 | 2010-06-07 |
| 1326275280 | Lucy Harman | Counselor | 106 Broadmead St, Princeton, NJ 08540-7216 | 2009-06-18 |
| Find all providers in PRINCETON | ||||
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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.