David Fish

M.D. | Pediatrics | Male

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Complete Profile:

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

Specialization :	Pediatrics
Provider Name :	David Fish
Credential :	M.D.
Gender :	Male

Business Address:

David 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 :	55 Lake Ave N, Medicine-pediatrics Hospital Medicine Worcester, MA, 01655-0002 United States
Phone Number :	774-442-6087
Fax Number :	774-442-6060

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 :	1659422798
NPI Entity Type :	Individual
First Enrolment Date :	16 Jan, 2007
Last Updated On :	16 Nov, 2020

Medicare Participation:

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

Medicare PECOS ID :	1557530201
Medicare Enrollment ID :	I20110815000080
Primary Specialty :	Pediatric Medicine
Medical School :	University Of Massachusetts Medical School
Graduation Year :	2006
Accepts Medicare?	Yes. David Fish accepts medicare insurance.

Group Practice Association:

David 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 David 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
Umass Memorial Medical Group Inc	4284539891	1738	55 Lake Ave N Worcester, MA - 016550002 Ph: 5083341000	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 David Fish are as mentioned. Primary taxonomy code for David Fish, M.D. is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
207R00000X	Internal Medicine	No	245903	MA
208000000X	Pediatrics	Yes	245903	MA
208M00000X	Hospitalist	No	245903	MA

Legacy Identifiers:

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

Identifier	Identifier Type	State	Issuer
110088658A	MEDICAID	MA
002257501	Other	MA	MEDICARE

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 :	Po Box 415348 Boston, MA, 02241-5348 United States
Phone Number :	800-225-8885
Fax Number :	508-334-1977

Business Location:

Patients can refer following map for directions to David 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. Last updated on 08 January, 2024.