Mark Fisherkeller, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

021796 Issued in CT

Practice address

90 Quarry St
Willimantic, CT 06226-1225

Phone

(860) 456-2898

Fax

(860) 456-3078

NPI assigned

May 5, 2006

Last updated

May 4, 2012By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Eastern Connecticut Heart Associates

  • Cardiovascular Disease Physician
  • Willimantic, CT
  • NPI 1447201793
  NPD (past) Authorized official
• Windham Cardiology, P.C.

  • Cardiovascular Disease Physician
  • Willimantic, CT
  • NPI 1467403808
  NPD (past) Authorized official
• Hartford Physician Services PC

  dba Hartford Medical Group

  • Internal Medicine Physician
  • Hartford, CT
  • NPI 1164404117
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336089600000",
    "number": "1629026380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 QUARRY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261225",
            "telephone_number": "860-456-2898",
            "fax_number": "860-456-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 QUARRY ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062261225",
            "telephone_number": "860-456-2898",
            "fax_number": "860-456-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHERKELLER",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2012-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "CT",
            "license": "021796",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CT",
            "license": "021796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001217967",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizette Felipe-Paredes
• Sheryl Ficorilli, RDH
• Yamil M Figueroa
• Jeni Fillmore
• Kaitlyn M Fiore
• Nicole Forrest
• Kierra Forstell
• Erica Forsythe
• Shaina Forte, FNP
• Craig Edwin Foster, MD

• Cardiovascular Disease Physician in Willimantic, CT
• Providers in Willimantic, CT by specialty
• Cardiovascular Disease Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.