NPIMap

Individual provider Active NPI

Scott Garza Fisk, M.D.

  • Anesthesiology Physician
  • Danville, KY
National Provider Identifier
1780847343
Registry record updated May 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
44589 Issued in KY
Practice address
210 W Main St FL 2
Danville, KY 40422-1812
Phone
(859) 236-3726
Fax
(859) 236-3019
NPI assigned
Jul 3, 2008
Last updated
May 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44589 KY Primary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 44589 KY

Addresses

Primary practice location

210 W Main St FL 2
Danville, KY 40422-1812

Mailing address

PO Box 27766
Belfast, ME 04915-2029
Phone (888) 488-8289

Other practice location 1

230 W Main St
Suite 200
Danville, KY 40422-1871
Phone (859) 236-3726

Other practice location 2

230 W Main St Ste 400
Danville, KY 40422-1875
Phone (859) 236-3726

Other practice location 3

1451 Harrodsburg Rd Ste 102
Lexington, KY 40504-3758
Phone (859) 236-3726

Other practice location 4

217 S 3rd St
Danville, KY 40422-1823
Phone (859) 236-3726

Other identifiers 1

IdentifierTypeStateIssuer
7100184010MedicaidKY

Other names 1

  • Dr. Scott Fisk Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111128000721 KY Practitioner - Anesthesiology 5799816492 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Indiana University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

216 W Walnut St
Suite a
Danville, KY 40422-1832
Phone (859) 239-5870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.36 of 100Reported as group
Quality
64.78
Promoting interoperability
100
Improvement activities
40
Cost
67.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc CurrentSince Jul 14, 2022 Accepting new patients
Ephraim McDowell Health Resource, Inc CurrentSince Jul 14, 2022 Accepting new patients
Ephraim McDowell Health Resource, Inc. Current Accepting new patients
Danville Anesthesia Associates, LLP Anesthesiology CurrentSince Oct 16, 2011 Accepting new patients
Primary Care of the Bluegrass, LLC CurrentSince Sep 23, 2017 Accepting new patients
Ephraim McDowell Health Resource, Inc Anesthesiology Past Accepting new patients
Central Kentucky Sleep Labs, LLC Past Accepting new patients

Locations

29 Main St
Crab Orchard, KY 40419
Phone (606) 355-7300

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

210 W Main St
Fl 2
Danville, KY 40422

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

230 W Main St
Ste 200
Danville, KY 40422

230 W Main St
Ste 400
Danville, KY 40422
Phone (502) 907-0356

1031 Wellington Way
Ste 240
Lexington, KY 40513

425 Lewis Hargett Cir
Lexington, KY 40503
Phone (606) 679-9322

223 Executive Park
Louisville, KY 40207

Organizations & group practices 9

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653004800000",
    "number": "1780847343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27766",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049152029",
            "telephone_number": "888-488-8289",
            "fax_number": "502-919-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W MAIN ST FL 2",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221812",
            "telephone_number": "859-236-3726",
            "fax_number": "859-236-3019"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 W Main St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221871",
            "country_code": "US",
            "telephone_number": "859-236-3726",
            "fax_number": "859-236-3019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Main St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221875",
            "country_code": "US",
            "telephone_number": "859-236-3726",
            "fax_number": "859-236-3019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 Harrodsburg Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405043758",
            "country_code": "US",
            "telephone_number": "859-236-3726",
            "fax_number": "859-236-3019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "217 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404221823",
            "country_code": "US",
            "telephone_number": "859-236-3726",
            "fax_number": "859-236-3019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISK",
        "first_name": "SCOTT",
        "middle_name": "GARZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-03",
        "last_updated": "2022-05-20",
        "certification_date": "2022-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "44589",
            "primary": true
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "KY",
            "license": "44589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100184010",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SCOTT",
            "last_name": "FISK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.