Jason Matthew Fish, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

19748 Issued in AL

Practice address

751 Pleasant Row NW
Huntsville, AL 35816-2537

Phone

(256) 533-6311

Fax

(256) 536-0801

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

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 and National Provider Directory roles.

• Primary Health Group Inc

  • Family Medicine Physician
  • Midlothian, VA
  • NPI 1578504452
  Medicare reassignment NPD
• Emergency Medical Specialist

  • Specialist
  • Valley, AL
  • NPI 1881754307
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Sterling Emergency Services of the Southeast Inc

  • Emergency Medicine Physician
  • Eatonton, GA
  • NPI 1992763627
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548286206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18488",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358048488",
            "telephone_number": "256-534-8659",
            "fax_number": "256-533-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 PLEASANT ROW NW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358162537",
            "telephone_number": "256-533-6311",
            "fax_number": "256-536-0801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Curry Pike",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474042593",
            "country_code": "US",
            "telephone_number": "205-981-9533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISH",
        "first_name": "JASON",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101259223",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "010691498A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "19748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph A Fiore Jr., M.D.
• Firebird Counseling LLC
• First Call Concepts
• First Loving Care, HCA
• Laura Fischbach
• Tobin Joe Fisher, MD
• Leshaun Nanyamka Fitchard, CRNP
• Fite & Newlin, PC
• Calah Mikal Fite, M.ED, NCC, ALC
• Larry C. Fite, M.D.

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.