Corey Adair Fish, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD61148701 Issued in WA

Practice address

2101 Little Mountain LN
Mount Vernon, WA 98274-8752

Phone

(360) 428-2622

Fax

(360) 428-3941

NPI assigned

Jun 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3083/brand/1/csg/1/fhir/r4
• Direct secure messaging: cfish604989@direct.peacehealth.org
• Direct secure messaging: cfish46898@skagit.direct-ci.com

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.

• Pacific Crest Childrens Urgent Care LLC

  • Urgent Care Clinic/Center
  • Portland, OR
  • NPI 1164947701

  Pediatrics

  NPD Authorized official
• Sellwood Medical Clinic PC

  • Family Medicine Physician
  • Portland, OR
  • NPI 1083686554
  NPD (past)

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

{
    "created_epoch": "1244937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1871720136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 LITTLE MOUNTAIN LN",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982748752",
            "telephone_number": "360-428-2622",
            "fax_number": "360-428-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "COREY",
        "middle_name": "ADAIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-14",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD169390",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61148701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lupita Fernandez, D.M.D,
• Karina Marie Figueroa
• Georgie Fill
• Elizabeth Findley, LICSW
• Adriana Maria Fischetti
• Jessica Fitzpatrick, SLP
• Five Star Rehabilitation and Wellness Services, LLC.
• McKenna Raye Fleming, OTD
• Chelsea Flemming
• Jessica K. Fletcher, DPT

• Pediatrics Physician in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.