Active NPI
Henry Fisk, MD
- Surgery Physician
- Danforth, ME
National Provider Identifier
1114956356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 009190
- Practice address
- 201 Houlton Rd
Danforth, ME 04424-0044 - Phone
- (207) 448-2347
- Fax
- (207) 448-2313
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 009190 | ME | Primary |
Addresses
Primary practice location
201 Houlton Rd
Danforth, ME 04424-0044
Mailing address
236 Back Ridge Rd
Littleton, ME 04730
Phone (207) 532-6777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009190 | ME | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114956356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 BACK RIDGE RD",
"city": "LITTLETON",
"state": "ME",
"postal_code": "04730",
"telephone_number": "207-532-6777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 HOULTON RD",
"city": "DANFORTH",
"state": "ME",
"postal_code": "044240044",
"telephone_number": "207-448-2347",
"fax_number": "207-448-2313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "HENRY",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "009190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danforth, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.