Frederick S Fish, M.D.

Primary specialty

MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X

License

26385 Issued in MN

Practice address

500 Osborne Rd NE Ste 330
Fridley, MN 55432-2769

Phone

(763) 571-4000

Fax

(763) 502-2966

NPI assigned

Jun 10, 2006

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Undefined Physician Type (Specify)Also: Dermatology

Education

Warren Alpert Medical School of Brown University, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.79 of 100Reported as group

Quality

53.64

Promoting interoperability

100

Improvement activities

40

Cost

88.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Associated Skin Care Specialists, PA

  • Dermatology Physician
  • Coon Rapids, MN
  • NPI 1083659569

  Specialist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1346281250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 14TH ST NW STE 240",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551120007",
            "telephone_number": "763-571-4000",
            "fax_number": "763-502-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OSBORNE RD NE STE 330",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322769",
            "telephone_number": "763-571-4000",
            "fax_number": "763-502-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "FREDERICK",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MN",
            "license": "26385",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MN",
            "license": "26385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "394783100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caromyr Figueroa Silvestrini, MD
• Tara Finnesgard, ED.S, NCSP
• Lois Finney, RD, LD
• Firstline Therapeutic Services LLC
• Katherine Jeane Fischer
• Rosemary R Fister
• Joseph Flake, M.D.
• Janet Gay Flanagan, PA
• Sean Thomas Fleming, CNP
• Anthony J Flink, PTA

• MOHS-Micrographic Surgery Physician in Fridley, MN
• Providers in Fridley, MN by specialty
• MOHS-Micrographic Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.

Verify at the official NPI Registry.