Active NPI
David J. Fishman, M.D.
- Internal Medicine Physician
- Highland HTS, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 039578
- Practice address
- 410 Medway Rd
Highland HTS, OH 44143-3725 - Phone
- (169) 784-5432
- Fax
- (404) 219-8464
- NPI assigned
- Oct 17, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 039578 | OH | |
| Internal Medicine Physician | 207R00000X | 039578 | OH | Primary |
Addresses
Primary practice location
410 Medway Rd
Highland HTS, OH 44143-3725
Mailing address
410 Medway Rd
Highland HTS, OH 44143-3725
Phone (216) 978-4543
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215903 | Medicaid | OH | |
| 000000136594 | Other | OH | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- 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
- Internal Medicine
- Education
- Perelman School of Med at the University of Pennsylvania, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14095 E Ctr St
Burton, OH 44021-9651
Phone (216) 273-9800
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.01 of 100
- Quality
- 78.82
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 84.55
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 40 |
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 039578 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ameriwound LLC | Current | Accepting new patients |
Locations
1211 W Market St
Akron, OH 44313
Phone (330) 867-8530
14803 Holland Rd
Brook Park, OH 44142
Phone (216) 267-0555
14095 E Center St
Burton, OH 44021
Phone (440) 834-1084
5005 Higbee Ave NW
Canton, OH 44718
Phone (330) 259-1145
7025 Clovernook Ave
Cincinnati, OH 45231
Phone (513) 605-4000
16101 Euclid Beach Blvd
Cleveland, OH 44110
Phone (216) 486-2300
1835 Belmore Rd
East Cleveland, OH 44112
Phone (216) 268-3600
120 Brookmont Rd
Fairlawn, OH 44333
Phone (330) 666-4545
19900 Clare Ave
Maple Heights, OH 44137
Phone (216) 623-3343
5800 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124
6150 Parkland Blvd
Ste 225
Mayfield Hts, OH 44124
23225 Lorain Rd
North Olmsted, OH 44070
Phone (440) 779-6900
51 E 4th St
The Plains, OH 45780
Phone (740) 797-4561
Organizations & group practices 1
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.
-
- Contractor
- Mayfield Heights, OH
- NPI 1740535988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1790774339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 MEDWAY RD",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441433725",
"telephone_number": "216-978-4543",
"fax_number": "440-421-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 MEDWAY RD",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441433725",
"telephone_number": "169-784-5432",
"fax_number": "404-219-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHMAN",
"first_name": "DAVID",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-17",
"last_updated": "2022-06-09",
"certification_date": "2022-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OH",
"license": "039578",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "039578",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0215903",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000136594",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.