Active NPI
John M Fisk, M.D.
- Blood Banking & Transfusion Medicine Physician
- Cooperstown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Blood Banking & Transfusion Medicine Physician
- License
- 235482
- Practice address
- One Atwell Road
Bassett Medical Center,
Cooperstown, NY 13326 - Phone
- (607) 547-6933
- Fax
- (607) 547-3203
- NPI assigned
- Jul 5, 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 |
|---|---|---|---|---|
| Blood Banking & Transfusion Medicine Physician | 207ZB0001X | 235482 | NY | Primary |
Addresses
Primary practice location
One Atwell Road
Bassett Medical Center,
Cooperstown, NY 13326
Mailing address
One Atwell Road
Bassett Medical Center,
Cooperstown, NY 13326
Phone (607) 547-6933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Johns Hopkins University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Atwell Rd
Cooperstown, NY 13326-1394
125 Main St
Oneonta, NY 13820-2507
Phone (607) 433-1790
178 Grandview Dr
Cobleskill, NY 12043-5144
Phone (518) 254-3456
55 Calvary Dr
Norwich, NY 13815-1032
Phone (607) 336-6362
Hospital & facility affiliations
- Bassett Healthcare
- Cobleskill Regional Hospital
- Aurelia Osborn Fox Memorial Hospital
- Strong Memorial Hospital
- Little Falls Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235482 | NY | MD | Blood Banking & Transfusion Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
Interoperability endpoints
- jfisk5270@bassett.direct-ci.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1689741985
-
- Critical Access Hospital
- Cobleskill, NY
- NPI 1891862579
-
- Critical Access Hospital
- Little Falls, NY
- NPI 1558321919
-
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1346285657
-
- General Acute Care Hospital
- Rochester, NY
- NPI 1669126090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339718400000",
"number": "1629075700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE ATWELL ROAD",
"address_2": "BASSETT MEDICAL CENTER,",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-6933",
"fax_number": "607-547-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE ATWELL ROAD",
"address_2": "BASSETT MEDICAL CENTER,",
"city": "COOPERSTOWN",
"state": "NY",
"postal_code": "13326",
"telephone_number": "607-547-6933",
"fax_number": "607-547-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISK",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2012-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207ZB0001X",
"taxonomy_group": "",
"desc": "Pathology, Blood Banking & Transfusion Medicine",
"state": "NY",
"license": "235482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooperstown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.