Active NPI
Sean Q. Fisk, P.A.
- Physician Assistant
- Fairhope, AL
National Provider Identifier
1609874791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-292
- Practice address
- 4 Medical Park
Fairhope, AL 36532-1872 - Phone
- (251) 928-2401
- Fax
- (251) 928-5099
- NPI assigned
- Jul 12, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-292 | AL | Primary |
Addresses
Primary practice location
4 Medical Park
Fairhope, AL 36532-1872
Mailing address
18521 Yacht Club Rd
Foley, AL 36535-4071
Phone (251) 928-2401
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-292 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uab STV Orthopedics, LLC | Past | Accepting new patients | |
| Bayside Orthopaedic & Rehabilitation Center, P.C. | Past | Accepting new patients | |
| Bayside Orthopaedic & Rehabilitation Center, P.C. | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Orthopaedic Surgery Physician
- Bay Minette, AL
- NPI 1962783472
-
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1710054432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609874791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18521 YACHT CLUB RD",
"city": "FOLEY",
"state": "AL",
"postal_code": "365354071",
"telephone_number": "251-928-2401",
"fax_number": "251-928-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEDICAL PARK",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365321872",
"telephone_number": "251-928-2401",
"fax_number": "251-928-5099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "SEAN",
"middle_name": "Q.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "PA-292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.