Active NPI
Mayer Fishman, MD
- Medical Oncology Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- ME74715
- Practice address
- 12902 Usf Magnolia Dr
Gu Program
Tampa, FL 33612-9416 - Phone
- (813) 745-8343
- Fax
- (813) 745-8494
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME74715 | FL | |
| Medical Oncology Physician | 207RX0202X | ME74715 | FL | Primary |
Addresses
Primary practice location
12902 Usf Magnolia Dr
Gu Program
Tampa, FL 33612-9416
Mailing address
12902 Usf Magnolia Dr
Gu Program
Tampa, FL 33612-9416
Phone (813) 745-8343
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35334 | Other | FL | BLUE CROSS BLUE SHIELD |
| 258831500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- University of Maryland School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Tampa General Cir
Tampa, FL 33606-3571
2 Tampa General Cir
FL 3
Tampa, FL 33606-3571
Phone (813) 844-7585
214 Morrison Rd
Suite 110
Brandon, FL 33511-4849
Phone (813) 844-4300
3140 S Falkenburg Rd
301 TGH Cancer Institute at Riverview
Riverview, FL 33578-2594
Phone (561) 253-3980
Hospital & facility affiliations
- Tampa General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME74715 | FL | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cancer Center of South Florida PLLC | Current | Accepting new patients | |
| Tampa General Hospital | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Tampa General Medical Group Inc | Medical Oncology | Current | Accepting new patients |
| Tampa General Medical Group Inc | Current | Accepting new patients | |
| Cancer Center of South Florida PLLC | Current | Accepting new patients |
Locations
214 Morrison Rd
Ste 110
Brandon, FL 33511
Phone (800) 844-9302
3140 S Falkenburg Rd
Ste 301
Riverview, FL 33578
Phone (813) 844-4600
3140 S Falkenburg Rd
Riverview, FL 33578
Phone (813) 578-2844
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- mfishman6313@direct.tgh.org
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 6
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.
-
- Oncology Clinic/Center
- Palm Springs, FL
- NPI 1194990333
-
- Hematology & Oncology Physician
- Riverview, FL
- NPI 1558943761
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1124558929
-
- Cardiovascular Disease Physician
- Sun City Center, FL
- NPI 1144910316
-
- Cardiovascular Disease Physician
- Tampa, FL
- NPI 1386981256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tampa, FL
- NPI 1235196510
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412294400000",
"number": "1215952999",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12902 USF MAGNOLIA DR",
"address_2": "GU PROGRAM",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129416",
"telephone_number": "813-745-8343",
"fax_number": "813-745-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12902 USF MAGNOLIA DR",
"address_2": "GU PROGRAM",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129416",
"telephone_number": "813-745-8343",
"fax_number": "813-745-8494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "MAYER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2014-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME74715",
"primary": false
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "FL",
"license": "ME74715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "35334",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "258831500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.