Daryl L Fish

DO | Pediatric Gastroenterology | Male

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Complete Profile:

Daryl L Fish basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics, Pediatric Gastroenterology
Provider Name :	Daryl L Fish
Credential :	DO
Gender :	Male

Business Address:

Daryl L Fish address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	1000 N Oak Ave Marshfield, WI, 54449-5703 United States
Phone Number :	715-387-5688

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1619077955
NPI Entity Type :	Individual
First Enrolment Date :	25 Sep, 2006
Last Updated On :	08 Feb, 2023

Medicare Participation:

Daryl L Fish participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0244274249
Medicare Enrollment ID :	I20050610000317
Primary Specialty :	Gastroenterology
Medical School :	At Still University Of Health Sciences, College Of Osteo Med, Kirksville
Graduation Year :	1998
Accepts Medicare?	Yes. Daryl L Fish accepts medicare insurance.

Group Practice Association:

Daryl L Fish is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Daryl L Fish is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Mchs Hospitals Inc	5698071173	1003	1000 N Oak Ave Attn Mmc Medical Offices Marshfield, WI - 544495703 Ph: 7153875511	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Daryl L Fish are as mentioned. Primary taxonomy code for Daryl L Fish, DO is 2080P0206X (Pediatrics, Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	41978	WI
2080P0206X	Pediatrics, Pediatric Gastroenterology	Yes	41978	WI

Legacy Identifiers:

Other legacy medical identifiers of Daryl L Fish such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
090172200	MEDICARE ID-Type Unspecified	WI
43497400	MEDICAID	WI
H56986	MEDICARE UPIN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	1000 N Oak Ave Marshfield, WI, 54449-5777 United States

Business Location:

Patients can refer following map for directions to Daryl L Fish practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.