Kevin Andrew Fisher, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD445161 Issued in PA

Practice address

2500 W 12TH St
Erie, PA 16505-4508

Phone

(814) 838-9000

Fax

(814) 838-0462

NPI assigned

Aug 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• University of Pittsburgh Cancer Institute Cancer Services

  • Radiation Oncology Physician
  • Pittsburgh, PA
  • NPI 1427025840
  Medicare reassignment NPD
• University of Pittsburgh Cancer Institute Cancer Services

  • Mobile Radiology Clinic/Center
  • Natrona Heights, PA
  • NPI 1912961350
  NPD
• Coastal Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • Salinas, CA
  • NPI 1699707885
  NPD (past)
• Coastal Radiation Oncology Medical Group, Inc.

  • Radiation Oncology Physician
  • Lompoc, CA
  • NPI 1922038173
  NPD (past)
• Comprehensive Radiology Services, PLLC

  • Diagnostic Radiology Physician
  • Hattiesburg, MS
  • NPI 1992731590
  NPD (past)

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1073505244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-838-9000",
            "fax_number": "814-838-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054508",
            "telephone_number": "814-838-9000",
            "fax_number": "814-838-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "KEVIN",
        "middle_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G49070",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD445161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G490700",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102710446",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00681332",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alia Fiscus
• Abigail Sullivan Fish, D.O
• Catherine Ann Fisher, LPN
• Jason Fisher
• Kaitlyn Taylor Fisher, LSW
• Laura Fiske
• Tanika Fitchett
• Marcie L Fitzgerald, PA-C
• Michael Paul Fitzgerald, PA-C
• Kaitlin Marie Flach, CRNA

• Radiation Oncology Physician in Erie, PA
• Providers in Erie, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.