DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. MARK A FISHER PA-C

MEDICARE: MR. MARK A FISHER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant10000311AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2931711OTHERINBCBS

General Provider Information

NPI Number : 1144215153
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MARK A FISHER PA-C
Provider Business Mailing Address
First Line : PO BOX 670
Second Line :
City : HUNTERTOWN
State : IN
Zip : 46748-0670
Country : US
Telephone Number : 260-748-3650
Fax Number : 260-748-3651
Provider Business Practice Location Address
First Line : 1721 MAGNAVOX WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-1537
Country : US
Telephone Number : 260-748-3650
Fax Number : 360-748-3651
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 02/04/2019

Similar Medicare Providers

1982654828 — DR. ROBERT FRANKLIN JACKSON II D.O.
Practice Location Address:
1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537
Practice Phone: 260-748-3650
Practice Fax: 260-748-3651
1861687923 — DR. DANIEL CHRISTOPHER ROTH DO, MBA, MS
Practice Location Address:
1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537
Practice Phone: 260-748-3650
Practice Fax: 260-748-3651
1053579151 — DR. JARED COFFMAN MD
Practice Location Address:
1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537
Practice Phone: 260-748-3650
Practice Fax: 260-569-2305
1184976136 — RACC MEDICAL ASSOCIATES LLC
Practice Location Address:
1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537
Practice Phone: 260-748-3650
Practice Fax: 260-748-3651
1679909931 — JASON T. GAISFORD PA-C
Practice Location Address:
1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537
Practice Phone: 260-748-3651
Practice Fax: 260-748-3651
1548696206 — THOMAS A. STRAUB PA
Practice Location Address:
1721 MAGNAVOX WAY
FORT WAYNE, IN
46804-1537
Practice Phone: 260-748-3650
Practice Fax: 260-748-3651

Directions to “ MR. MARK A FISHER PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.