Fishkin Center for Back and Body Wellness, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

01465 Issued in MD

Legal business name

FISHKIN CENTER FOR BACK AND BODY WELLNESS, LLC

Practice address

50 W Edmonston Dr
Suite 602
Rockville, MD 20852-1228

Phone

(301) 444-4890

Fax

(301) 444-4893

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David B Fishkin, D.C., MPH

Title

President

Phone

(301) 444-4890

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1114143443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR",
            "address_2": "SUITE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521228",
            "telephone_number": "301-444-4890",
            "fax_number": "301-444-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W EDMONSTON DR",
            "address_2": "SUITE 602",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521228",
            "telephone_number": "301-444-4890",
            "fax_number": "301-444-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHKIN CENTER FOR BACK AND BODY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "FISHKIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-444-4890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., MPH"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "01465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4324466",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "18970001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "18970001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory H Fisher, M.D.
• Jessica Fisher
• Jessica Fisher, LCSW-C
• Megan Fisher
• Sophia Fisher
• David B Fishkin, DC,MPH
• Norton Fishman, M.D.
• Preytrice Fitch- Graham
• Deztanee Laila Fitch
• Fitness for Health

• Chiropractor in Rockville, MD
• Providers in Rockville, MD by specialty
• Chiropractor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.