Robert James Fiske, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00304 Issued in OR

Practice address

1021 June St
Hood River, OR 97031-1516

Phone

(541) 386-3626

Fax

(541) 386-3775

NPI assigned

Dec 6, 2006

Sex

Male

Sole proprietor

Yes

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 OR

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Summit Family Medicine - LLC

  • Family Medicine Physician
  • Hood River, OR
  • NPI 1811157902
  Medicare reassignment

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1144389339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 JUNE ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311516",
            "telephone_number": "541-386-3626",
            "fax_number": "541-386-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 JUNE ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311516",
            "telephone_number": "541-386-3626",
            "fax_number": "541-386-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISKE",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Daniel Farrell
• Miriam D Fauth, MD
• Michelle T Fernandez
• Alexandra Ferrick
• Terrance A Finstad, MD
• Five Element Acupuncture
• Kristyn Fix
• Rebecca Renee Flaiz, DDS
• Thomas Fliss, DPT
• Brooke Frances Flood, P.T.

• Physician Assistant in Hood River, OR
• Providers in Hood River, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; 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.