Kenneth Clyde Fischer, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME0024675 Issued in FL

Practice address

1190 NW 95TH St
Ste 402
Miami, FL 33150

Phone

(305) 696-7666

Fax

(305) 694-0111

NPI assigned

May 12, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1154372506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33150",
            "telephone_number": "305-696-7666",
            "fax_number": "305-694-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "STE 402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33150",
            "telephone_number": "305-696-7666",
            "fax_number": "305-694-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "KENNETH",
        "middle_name": "CLYDE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME0024675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035837100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Visit Medical Services PA
• Fis'S Care Pharmacy,Inc.
• Amy Heather Fisch, DO
• Fischer Pediatric Optometry, PA
• Allyson Fischer, OT
• Roberta Fischer, SI
• Vicky S Fischer, OD
• Margaret A Fischl, MD
• Kenneth Eric Fischler, MD
• Caroline Kimberly Fiser

• Neurology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.