Diana Fischer MD PA

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

ME70948 Issued in FL

Legal business name

DIANA FISCHER MD PA

Practice address

3898 Via Poinciana
Suite # 16
Lake Worth, FL 33467-2951

Phone

(561) 649-1414

Fax

(561) 649-1401

NPI assigned

Nov 10, 2008

Last updated

Dec 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Diana Fischer, MD

Title

President

Phone

(561) 649-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1114171741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "address_2": "SUITE # 16",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-649-1414",
            "fax_number": "561-649-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 VIA POINCIANA",
            "address_2": "SUITE # 16",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334672951",
            "telephone_number": "561-649-1414",
            "fax_number": "561-649-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA FISCHER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-649-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME70948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250214300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Child & Adolescent Psychiatry Physician in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Child & Adolescent Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.