Kenneth H. Fischbeck, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

MD025526E Issued in PA

Practice address

35-2A1000 35 Convent Dr
MSC 3705
Bethesda, MD 20892-0001

Phone

(301) 435-9318

Fax

(301) 480-3365

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407067374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-2A1000, 35 CONVENT DR.",
            "address_2": "MSC 3705",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208923705",
            "telephone_number": "301-435-9318",
            "fax_number": "301-480-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-2A1000 35 CONVENT DR",
            "address_2": "MSC 3705",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208920001",
            "telephone_number": "301-435-9318",
            "fax_number": "301-480-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBECK",
        "first_name": "KENNETH",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD025526E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Colombo Finzi, PHD
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• First Class Smiles by Asante LLC
• Ira Fisch, M.D.
• Sharon Fischman, LGSW
• Francis J. Fishburne, PH.D.
• Benjamin Paul Fisher
• Deidre Ann Fisher, APRN- FNP
• Evan I. Fisher, MD

• Neurology Physician in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Neurology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.