Larry Fishman, M.D.

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

ME0053007 Issued in FL

Practice address

427 S Parsons Ave
Suite 110
Brandon, FL 33511-5291

Phone

(813) 653-2770

Fax

(813) 654-6668

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Practice roles

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.

• V.P. Nagarajan, M.D.

  • Urology Physician
  • Brooksville, FL
  • NPI 1366629628
  NPD (past)

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329955200000",
    "number": "1720049968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 S PARSONS AVE",
            "address_2": "SUITE 110",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115291",
            "telephone_number": "813-653-2770",
            "fax_number": "813-654-6668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 S PARSONS AVE",
            "address_2": "SUITE 110",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115291",
            "telephone_number": "813-653-2770",
            "fax_number": "813-654-6668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHMAN",
        "first_name": "LARRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "FL",
            "license": "ME0053007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048364800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Fisher, LPTA
• Pamela Fisher
• Shannon Fisher
• Taylor Renee Fisher, DMD
• William Steele Fisher, MD
• Jessica A Fitzgerald
• Marietta Windham Fitzgerald, LMHC
• Lauryn Marie Fitzpatrick
• Natasha Fix
• FKP Tampa Ambulatory Surgery Center, LLC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Brandon, FL
• Providers in Brandon, FL by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.