ERIC B FISHMAN (NPI# 1952448342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952448342 |
| Entity Type | Individual |
| Full Name | ERIC B FISHMAN |
| Credential | MD |
| Practice Address |
677 Church St Ne Marietta GA 30060-1101 |
| Mailing Address |
4300 Columns Dr Se Marietta GA 30067-4814 |
| Practice Telephone | 7707940477 |
| Practice Fax Number | 7707943108 |
| Mailing Telephone | 7703030704 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2019-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 032183 | GA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
032183 | GA | Allopathic & Osteopathic Physicians |
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
032183 | GA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
032183 | GA | Allopathic & Osteopathic Physicians |
| N | 207LP3000X |
Anesthesiology Specialization: Pediatric Anesthesiology |
032183 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000444232H | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 146 Bill Carruth Pkwy, Hiram, GA 301413749 | 7707940477 | 7707943108 |
| 2540 Windy Hill Rd Se, Marietta, GA 300678605 | 7707940477 | 7707943108 |
| 531 Roselane St Nw Ste 830, Marietta, GA 300606979 | 7707940477 | 7707943108 |
| 8954 Hospital Dr, Douglasville, GA 301342272 | 7707940477 | 7707943108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437165495 | Eric Fishman | Surgery | 3030 Westchester Ave, Purchase, NY 10577-2574 | 2006-07-31 |
| 1053360503 | Eric Stuart Fishman | Orthopaedic Surgery | 1411 N Flagler Dr, Suite 8600, West Palm Beach, FL 33401-3404 | 2006-05-10 |
| 1053373142 | Eric P Fishman | Specialist | 40 Medical Park, Suite 500, Wheeling, WV 26003-6392 | 2006-04-04 |
| Street Address |
677 CHURCH ST NE |
| City | MARIETTA |
| State | GA |
| Zip Code | 30060-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841285095 | Grace S Kim | Anesthesiology | 677 Church St Ne, Marietta, GA 30060-1101 | 2005-09-14 |
| 1205436425 | Lakesha Alexis | Nurse Practitioner | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-10-27 |
| 1710594080 | Terrence Helms | Nurse Anesthetist, Certified Registered | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-09-30 |
| 1063022481 | Laura Elliott | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-08-01 |
| 1346868908 | Megan Grace Zimmerman | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-07-10 |
| 1578180535 | Devon Potler-jack | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-06-25 |
| 1740802032 | Noelle Shaw | Anesthesiologist Assistant | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-05-11 |
| 1316567860 | Molly O'keeffe | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-24 |
| 1740800317 | Sara Roberts | Registered Nurse | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-23 |
| 1508486184 | Luke Bishop | Student in an Organized Health Care Education/Training Program | 677 Church St Ne, Marietta, GA 30060-1101 | 2020-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144845116 | Legacy Center for Spinal Surgery, LLC | Neurological Surgery | 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 | 2020-06-15 |
| 1407477193 | Michael Cynil Daniel | Counselor | 698 N Marietta, Pkwy, Marietta, GA 30060 | 2020-05-04 |
| 1285253401 | Cameron Thomas Kennelly | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne Attn:gme, Marietta, GA 30060 | 2020-04-09 |
| 1922640739 | Jeremiah George Blair | Physician Assistant | 61 Whitcher St Suite 2100, Marietta, GA 30060 | 2019-10-14 |
| 1164064945 | Denise Alicia Mick | Registered Nurse | 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 | 2019-10-12 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1346703212 | Caitlin Virginia Mueller | Student in an Organized Health Care Education/Training Program | 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 | 2019-04-08 |
| 1184187205 | Adero Francis | Student in an Organized Health Care Education/Training Program | Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 | 2019-04-08 |
| 1659832749 | Matthew Mozzo | Student in an Organized Health Care Education/Training Program | 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 | 2019-03-29 |
| 1245797430 | La'myia Spentz | Specialist | 109 Anderson St Ne, Suite 608, Marietta, GA 30060 | 2019-02-25 |
| Find all providers in zip 30060 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043744311 | William Shearin Jr. | Anesthesiology | 4048 Penhurst Dr, Marietta, GA 30062-6161 | 2017-04-13 |
| 1336304633 | Philip J Miehl | Anesthesiology | 1946 Hunters Bend Ct, Marietta, GA 30062-5396 | 2008-07-25 |
| 1154414068 | Gunjan Kelotra-jindia | Anesthesiology | 3747 Roswell Rd Ste 311, Marietta, GA 30062 | 2006-10-02 |
| 1386675296 | Henry Frysh | Anesthesiology | 2540 Windy Hill Rd, Marietta, GA 30067 | 2006-07-06 |
| 1578526166 | Niloofer Dalal | Anesthesiology | 3043 Tuscany Park Dr, Marietta, GA 30068-5313 | 2006-04-06 |
| 1912968413 | Cheryl Marie Taylor | Anesthesiology | 310 Kennestone Hospital Blvd, Marietta, GA 30060 | 2006-04-01 |
| 1720060668 | H David Sanusi | Anesthesiology | 2500 Dallas Hwy, Pmb 160 Ste 202, Marietta, GA 30064-7505 | 2005-11-16 |
| 1164418489 | Ambulatory Anesthesia of Atlanta, P C | Anesthesiology | 780 Canton Road, Suite 100, Marietta, GA 30060-7259 | 2005-09-22 |
| 1841285095 | Grace S Kim | Anesthesiology | 677 Church St Ne, Marietta, GA 30060-1101 | 2005-09-14 |
| 1538154083 | Donald Ray Cornutt Jr. | Anesthesiology | 1072 Woodruff Plantation Ct Se, Marietta, GA 30067-9100 | 2005-09-12 |
| Find all providers in MARIETTA | ||||
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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.