Kevin Robert Fischer, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

113 Liemanis Ave
16TH MDG
Hurlburt Field, FL 32544

Phone

(850) 881-5152

NPI assigned

Jun 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, NC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Walton Rural Hospital, LLC

  dba North Walton Doctors Hospital

  • Rural Acute Care Hospital
  • Defuniak Springs, FL
  • NPI 1750142121
  Medicare reassignment NPD
• Hospital Physician Services - Southeast Professional Corporation

  • Hospitalist Physician
  • Monroe, GA
  • NPI 1760410385

  NC

  Medicare reassignment
• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  NC

  Medicare reassignment
• Swain Integrated Services, PC

  • Emergency Medicine Physician
  • Bryson City, NC
  • NPI 1043752363
  Medicare reassignment
• Emergency Medicine Specialists PLC

  • Emergency Medicine Physician
  • Pensacola, FL
  • NPI 1033158092
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1053348375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 EAGLE LN",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325668376",
            "telephone_number": "850-939-8295",
            "fax_number": "850-881-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LIEMANIS AVE",
            "address_2": "16TH MDG",
            "city": "HURLBURT FIELD",
            "state": "FL",
            "postal_code": "32544",
            "telephone_number": "850-881-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew David Edgar, DO
• Alexandra Edwards
• Beverly Eichman, PA
• Reth El, IDMT
• David Robert Englert, PH.D.
• Oclla Michele Fletcher, MD
• Gregory Ford, PA-C
• Allie Louisa Foster, APRN
• Courtney Gallagher, RD, CSSD
• Joseph Galluzzo, PH.D.

• Medical Physician Assistant in Hurlburt Field, FL
• Providers in Hurlburt Field, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.