Travis Warren Fisher (NPI# 1366536732, PAC ID# 1153463997) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1366536732 |
| PAC ID by PECOS | 1153463997 |
| Professional Enrollment ID | I20161014001165 |
| Full Name | Travis Warren Fisher |
| Organization Legal Name | HERITAGE TECHNOLOGIES LLC |
| Address |
10238 E Hampton Ave Mesa AZ 85209-3321 |
| Phone Number | 4808347546 |
| Gender | M |
| Medical School | UNIVERSITY OF COLORADO SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 5193628485 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030121 | MOUNTAIN VISTA MEDICAL CENTER, LP |
| Address | Phone | Organization |
|---|---|---|
| 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 | 4808347546 | HERITAGE TECHNOLOGIES LLC |
| 10238 E Hampton Ave, Mesa, AZ 85209-3321 | 4808347546 | HERITAGE TECHNOLOGIES LLC |
| Organization Legal Name | HERITAGE TECHNOLOGIES LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sahan Joseph Emmanuel | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Dana S Farris | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Matthew Khumalo | Family Medicine | Heritage Technologies LLC | 2181 E Pecos Rd, Suite 1, Chandler, AZ 85225-6140 |
| Gene M Winfield | Internal Medicine | Heritage Technologies LLC | 11518 E Apache Tr, Suite 113, Apache Junction, AZ 85220-3531 |
| Faith Ann Phillips | Nurse Practitioner | Heritage Technologies LLC | 5656 S Power Rd, Suite 126, Gilbert, AZ 85295-8489 |
| Robert M Babbel | Family Medicine | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Laura J Way | Physician Assistant | Heritage Technologies LLC | 1492 S Mill Ave, Suite 101, Tempe, AZ 85281-5660 |
| Ian Bates | Physician Assistant | Heritage Technologies LLC | 1855 N Stapley Dr, Mesa, AZ 85203-3002 |
| Rachel S Erdmann | Nurse Practitioner | Heritage Technologies LLC | 10238 E Hampton Ave, Mesa, AZ 85209-3321 |
| Richard J Dinsdale | Family Medicine | Heritage Technologies LLC | 20928 E Heritage Loop Rd, Suite 106, Queen Creek, AZ 85142-3900 |
| Street Address |
10238 E HAMPTON AVE |
| City | MESA |
| State | AZ |
| Zip | 85209-3321 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wesley D High | General Surgery | Physician Group of Arizona Inc | 10238 E Hampton Ave, Mesa, AZ 85209-3322 |
| Jill M Juvan | Qualified Audiologist | Ent Specialists of Arizona, P.C. | 10238 E Hampton Ave, Suite 411, Mesa, AZ 85209-3320 |
| James A Taylor Jr. | General Surgery | Physician Group of Arizona Inc | 10238 E Hampton Ave, Suite 301a, Mesa, AZ 85209-3322 |
| Douglas W Pope | Nurse Practitioner | Cardiac Arrhythmia Institute LLC | 10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3321 |
| Salim R Thabet | Interventional Cardiology | Cardiac Arrhythmia Institute LLC | 10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3321 |
| Christopher Scott Lichtenwalter | Cardiovascular Disease (cardiology) | Cardiac Arrhythmia Institute LLC | 10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3321 |
| Himanshu Harshadray Shukla | Cardiovascular Disease (cardiology) | Cardiac Arrhythmia Institute LLC | 10238 E Hampton Ave, Suite 501, Mesa, AZ 85209-3321 |
| Yasir S Shareef | Neurology | 10238 E Hampton Ave, Suite 205, Mesa, AZ 85209-3318 | |
| Suzanne E Orourke | Nurse Practitioner | Physician Group of Arizona Inc | 10238 E Hampton Ave, Suite 301a, Mesa, AZ 85209-3322 |
| David B Mendelson | Otolaryngology | Ent Specialists of Arizona, P.C. | 10238 E Hampton Ave, Suite 411, Mesa, AZ 85209-3320 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonal Desai | Optometry | 1606 S Signal Butte Rd, Mesa, AZ 85209-1482 | |
| Ginger K Urban | Physician Assistant | The Little Clinic of Arizona LLC | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 |
| Robin K Lee | Physician Assistant | The Little Clinic of Arizona LLC | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 |
| Debra A Nigbur | Physician Assistant | The Little Clinic of Arizona LLC | 2724 S Signal Butte Rd, Mesa, AZ 85209-2104 |
| Rhett Urseth | Physical Therapy | Ati Holdings of Arizona, LLC | 1752 S Signal Butte Rd, Suite D 108, Mesa, AZ 85209-2403 |
| Brandon Meredith Navarro | Physical Therapy | Ati Holdings of Arizona, LLC | 1752 S Signal Butte Rd, Suite D 108, Mesa, AZ 85209-2403 |
| Jacob G Holland | Physical Therapy | Roc Physical Therapy, Pllc | 1917 S Signal Butte Rd, Suite B106, Mesa, AZ 85209-2602 |
| Jeffrey J Zacher | Family Medicine | Tri-city Express Care Pllc | 1955 S Signal Butte Rd, 103 Fastmed Urgent Care, Mesa, AZ 85209-2608 |
| David W Shiflet | Chiropractic | Chiropractic Health Innovations, Pllc | 7254 E Southern Ave, Suite 113, Mesa, AZ 85209-2787 |
| Ryan K Larson | Chiropractic | Chiropractic Health Innovations, Pllc | 7254 E Southern Ave, Suite 113, Mesa, AZ 85209-2787 |
| Find all physicians in zip 85209 | |||
| City | MESA |
| Zip Code | 85209 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MESA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Travis Warren Fisher.
| 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.