MEDICARE: WILLIAM FISHCO DPM

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
1	213E00000X	Podiatrist	0486	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	480033453	OTHER	AZ	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0194160	OTHER	AZ	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	1Z5742	OTHER	AZ	HEALTH NET

General Provider Information

NPI Number	:	1225025893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM FISHCO DPM

Provider Business Mailing Address
First Line	:	41818 N VENTURE DR
Second Line	:	STE 110
City	:	PHOENIX
State	:	AZ
Zip	:	85086-3189
Country	:	US
Telephone Number	:	623-551-5000
Fax Number	:	623-551-1418

Provider Business Practice Location Address
First Line	:	41818 N VENTURE DR # D
Second Line	:	SUITE 110
City	:	ANTHEM
State	:	AZ
Zip	:	85086-3188
Country	:	US
Telephone Number	:	623-551-5000
Fax Number	:	602-993-2705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/05/2026

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Directions to “ WILLIAM FISHCO DPM” Practice Location

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