Patrick William Fisher (NPI# 1831225036, PAC ID# 0042317984) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1831225036 |
| PAC ID by PECOS | 0042317984 |
| Professional Enrollment ID | I20130722000057 |
| Full Name | Patrick William Fisher |
| Organization Legal Name | ST CLOUD PHYSICIAN MANAGEMENT LLC |
| Address |
2900 17th St Suite 4 Saint Cloud FL 34769-6098 |
| Phone Number | 4078912940 |
| Gender | M |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 2365545662 |
| Number of Group Practice Members | 26 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100302 | ST CLOUD REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2900 17th St, Suite 4, Saint Cloud, FL 34769-6098 | 4078912940 | ST CLOUD PHYSICIAN MANAGEMENT LLC |
| Organization Legal Name | ST CLOUD PHYSICIAN MANAGEMENT LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shriti Masrani Mehta | Internal Medicine | St Cloud Physician Management LLC | 3356 Canoe Creek Rd, Saint Cloud, FL 34772-6536 |
| Neasha Merritt | Family Medicine | St Cloud Physician Management LLC | 2550 Simpson Rd, Kissimmee, FL 34744-4637 |
| Martha C Aragon Lopez | Family Medicine | St Cloud Physician Management LLC | 1700 E Irlo Bronson Memorial Hwy, Saint Cloud, FL 34771-5806 |
| Rodolfo Aldir | Cardiovascular Disease (cardiology) | St Cloud Physician Management LLC | 2900 17th St, Suite 2, Saint Cloud, FL 34769-6098 |
| Robert N Capobianco | General Surgery | St Cloud Physician Management LLC | 1525 Budinger Ave, Saint Cloud, FL 34769-4140 |
| Martin J Omalley | Internal Medicine | St Cloud Physician Management LLC | 1600 Budinger Ave, Suite D, Saint Cloud, FL 34769-6005 |
| Lori A White | Nurse Practitioner | St Cloud Physician Management LLC | 1300 Kevstin Dr, Kissimmee, FL 34744-5843 |
| John R Hartman | Family Medicine | St Cloud Physician Management LLC | 700 W Oak St, Kissimmee, FL 34741-4924 |
| Aura Melissa Urquia-robles | Family Medicine | St Cloud Physician Management LLC | 1300 Kevstin Dr, Kissimmee, FL 34744-5843 |
| Om Amin | Gastroenterology | St Cloud Physician Management LLC | 2900 17th St, Suite 3, Saint Cloud, FL 34769-6098 |
| Street Address |
2900 17TH ST SUITE 4 |
| City | SAINT CLOUD |
| State | FL |
| Zip | 34769-6098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodolfo Aldir | Cardiovascular Disease (cardiology) | St Cloud Physician Management LLC | 2900 17th St, Suite 2, Saint Cloud, FL 34769-6098 |
| Om Amin | Gastroenterology | St Cloud Physician Management LLC | 2900 17th St, Suite 3, Saint Cloud, FL 34769-6098 |
| Adonis Lysandrou | Vascular Surgery | St Cloud Physician Management LLC | 2900 17th St, Suite 2, Saint Cloud, FL 34769-6098 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carmen Ana Sierra | Family Medicine | 4745 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| Dustin N Ly | Internal Medicine | 4737 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| Naga Lakshmana Prasad Nidadavolu | Neurology | 4739 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 | |
| Steven L Petty | Chiropractic | Joint Maneuvers Chiropractic Centre Pa | 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 |
| Brett E Petty | Chiropractic | Joint Maneuvers Chiropractic Centre Pa | 4797 Old Canoe Creek Rd, Saint Cloud, FL 34769-1400 |
| Ramarao Makkena | Psychiatry | Oglethorpe of Orlando Inc | 91 Beehive Cir, Saint Cloud, FL 34769-1432 |
| Amit R Desai | Psychiatry | Oglethorpe of Orlando Inc | 91 Beehive Cir, Saint Cloud, FL 34769-1432 |
| Jose A Flores Guevara | Ophthalmology | St Cloud Eye Center Inc | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 |
| Ly T Nguyen | Ophthalmology | St Cloud Eye Center Inc | 4691 Old Canoe Creek Rd, Saint Cloud, FL 34769-1550 |
| Elba E Masid | Family Medicine | 4513 Old Canoe Creek Rd, Saint Cloud, FL 34769-1551 | |
| Find all physicians in zip 34769 | |||
| City | SAINT CLOUD |
| Zip Code | 34769 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | SAINT CLOUD + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.