NPIMap

Organization Active NPI

William D Fishco DPM PC

  • Podiatrist
  • Anthem, AZ
National Provider Identifier
1598716706
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
WILLIAM D FISHCO DPM PC
Practice address
41818 N Venture Dr
Suite 110
Anthem, AZ 85086-3188
Phone
(623) 551-5000
Fax
(800) 530-9132
NPI assigned
May 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
William D Fishco, DPMNPI 1225025893
Title
Provider
Phone
(602) 993-2700

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
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

41818 N Venture Dr
Suite 110
Anthem, AZ 85086-3188

Mailing address

41818 N Venture Dr
Suite 110
Anthem, AZ 85086-3188
Phone (623) 551-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040614001026 AZ Part B Supplier - Clinic/Group Practice 9739163221 Receives reassigned benefits from 2 practitioners
Practice locations: Anthem, AZ
O20100930035909 AZ DME Supplier - Physician - Podiatry 9739163221 Practice locations: Anthem, AZ

National Provider Directory

National Provider Directory
Tax ID family
William D Fishco DPM PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

41818 N Venture Dr
Ste 1
Anthem, AZ 85086
Phone (623) 551-5000

14418 W Meeker Blvd
Ste 207
Sun City West, AZ 85375
Phone (623) 584-6500

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1598716706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR",
            "address_2": "SUITE 110",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863188",
            "telephone_number": "623-551-5000",
            "fax_number": "800-530-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41818 N VENTURE DR",
            "address_2": "SUITE 110",
            "city": "ANTHEM",
            "state": "AZ",
            "postal_code": "850863188",
            "telephone_number": "623-551-5000",
            "fax_number": "800-530-9132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D FISHCO DPM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "FISHCO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "602-993-2700",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anthem, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.