Active NPI
Marsha Joy Fishbane, M.D.
- Pediatrics Physician
- West Palm Beach, FL
National Provider Identifier
1902983547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME30602
- Practice address
- 800 Clematis St
West Palm Beach, FL 33401-5107 - Phone
- (561) 671-4181
- Fax
- (561) 837-5332
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME30602 | FL | Primary |
Addresses
Primary practice location
800 Clematis St
West Palm Beach, FL 33401-5107
Mailing address
800 Clematis St
West Palm Beach, FL 33401-5107
Phone (561) 671-4181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059402400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME30602 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1902983547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 CLEMATIS ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015107",
"telephone_number": "561-671-4181",
"fax_number": "561-837-5332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 CLEMATIS ST",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334015107",
"telephone_number": "561-671-4181",
"fax_number": "561-837-5332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHBANE",
"first_name": "MARSHA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME30602",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "059402400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.