Organization Active NPI

Marnin E Fischbach MD PC

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1770760282
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MD-072287-L Issued in PA
Legal business name
MARNIN E FISCHBACH MD PC
Practice address
1036 Summerset Dr
Pittsburgh, PA 15217-2537
Phone
(412) 389-5227
Fax
(412) 881-5335
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Dr. Marnin Eli Fischbach, MDNPI 1043290521
Title
President
Phone
(412) 389-5227

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X MD-072287-L PA Primary

Addresses

Primary practice location

1036 Summerset Dr
Pittsburgh, PA 15217-2537

Mailing address

1036 Summerset Dr
Pittsburgh, PA 15217-2537
Phone (412) 389-5227

Other identifiers 1

IdentifierTypeStateIssuer
1043290521OtherPRACTITIONER NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090330000018 PA Part B Supplier - Clinic/Group Practice 6305903717 Receives reassigned benefits from 1 practitioner
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1770760282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 SUMMERSET DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172537",
            "telephone_number": "412-389-5227",
            "fax_number": "412-881-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SUMMERSET DR",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152172537",
            "telephone_number": "412-389-5227",
            "fax_number": "412-881-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARNIN E FISCHBACH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "FISCHBACH",
        "authorized_official_first_name": "MARNIN",
        "authorized_official_middle_name": "ELI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-389-5227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "MD-072287-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRACTITIONER NPI",
            "identifier": "1043290521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.