Vicki Fishfader

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

PA10003946 Issued in WA

Practice address

912 32ND St
Suite a
Anacortes, WA 98221-3473

Phone

(360) 293-4343

NPI assigned

Sep 13, 2006

Last updated

Feb 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Internal Medicine Consultants NW PS

  • Internal Medicine Physician
  • La Conner, WA
  • NPI 1497022370
  Medicare reassignment
• Northwest Emergency Physicians LLC

  dba Nep

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370
  Medicare reassignment
• Northwest Physician Associates PC

  • Physician Assistant
  • Arlington, WA
  • NPI 1275567919
  Medicare reassignment
• Restorix Medical Group PLLC

  • Specialist
  • Anacortes, WA
  • NPI 1427332428
  NPD (past)
• Thomas C Gustafson

  dba Market Street Clinic

  • General Practice Physician
  • Seattle, WA
  • NPI 1821213612
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1912002262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 32ND ST",
            "address_2": "SUITE A",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213473",
            "telephone_number": "360-293-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHFADER",
        "first_name": "VICKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "PA10003946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "3852FI",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8345647",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD 2",
            "identifier": "6927FI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKMANS COMP",
            "identifier": "191614",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fidalgo Medical Associates PLLC
• Fidalgo Pharmacy Services, Inc (Medicap Pharmacy)
• Fidalgo Sports and Physiatry
• Dana Marie Fischer, MA00024010
• Janet Fischer, LSWAA
• Ellen L Fitch
• Kelly Allison Fitzgerald, M.S.
• Alethea Fleming, N.D.
• Nadine Foist, MD
• Keith Harrison Ford

• Internal Medicine Physician in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.