Paul Fischman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME42423 Issued in FL

Practice address

5962 Benevento Dr
Sarasota, FL 34238-2880

Phone

(941) 376-4050

NPI assigned

May 18, 2011

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1780977157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5962 BENEVENTO DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382880",
            "telephone_number": "941-376-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5962 BENEVENTO DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342382880",
            "telephone_number": "941-376-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHMAN",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-18",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME42423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1780977157",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• First Harbour Medical Centers, LLC
• Jill Leslie Fischberg, LMHC
• Brianna Nichole Fischer
• Jane Patricia Fischer, ARNP
• Kayla Fischer, PA-C
• Anne Elizabeth Fisher, PH.D.
• Marie Fisher, ARNP
• Maurice Elmer Fisher, PT
• Ronald Fisher, M.D.
• Summer Fisher

• Psychiatry Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.