Organization Active NPI

Hamilton R Fish MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Leesburg, FL
National Provider Identifier
1164967154
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
HAMILTON R FISH MD
Practice address
32735 Radio Rd
Leesburg, FL 34788-3900
Phone
(352) 728-3111
Fax
(352) 728-3201
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Dr. Hamilton R Fish, M.D.NPI 1306802731
Title
Individual
Phone
(352) 728-3111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

32735 Radio Rd
Leesburg, FL 34788-3900

Mailing address

32735 Radio Rd
Leesburg, FL 34788-3900
Phone (352) 728-3111

Other identifiers 1

IdentifierTypeStateIssuer
038286800MedicaidFL

National Provider Directory

National Provider Directory

Locations

32735 Radio Rd
Leesburg, FL 34788
Phone (352) 728-1656

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1164967154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32735 RADIO RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883900",
            "telephone_number": "352-728-3111",
            "fax_number": "352-728-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32735 RADIO RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883900",
            "telephone_number": "352-728-3111",
            "fax_number": "352-728-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON R FISH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "FISH",
        "authorized_official_first_name": "HAMILTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "INDIVIDUAL",
        "authorized_official_telephone_number": "352-728-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038286800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.