Michael Fishman

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

MICHAEL FISHMAN

Practice address

755 Norman Dr
Lebanon, PA 17042-7497

Phone

(717) 273-6706

Fax

(717) 273-6706

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Dennis P Creedon, BSN

Title

Manager

Phone

(717) 273-6706

Specialties & licenses 1

Addresses

Other names 1

• Michael Fishman MD PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer C Renninger, PAC

  • Physician Assistant
  • Frackville, PA
  • NPI 1457485112
  Medicare reassignment

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1912744210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427497",
            "telephone_number": "717-273-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORMAN DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427497",
            "telephone_number": "717-273-6706",
            "fax_number": "717-273-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL FISHMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "CREEDON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "717-273-6706",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Fishman MD PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• William T Merchant, DO
• Jessica Merideth
• Brittany Mertz
• Glen Joseph Mesaros, M.D.
• Kendra Faith Meyer
• Michael L. Fellin, DMD, LLC
• Amanda Migliaccio
• Darcy A Miller, PSY.D.
• Daril Jo Miller, PHARM D.
• David Alexander Miller, MSPT

• Pain Medicine (Anesthesiology) Physician in Lebanon, PA
• Providers in Lebanon, PA by specialty
• Pain Medicine (Anesthesiology) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.