Randall S. Fisher, D.P.M.

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO00000474 Issued in WA

Practice address

8610 Eastview Ave
Everett, WA 98208-3516

Phone

(425) 252-0203

Fax

(425) 337-5961

NPI assigned

Mar 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Brookdale Senior Living Communities, Inc.

  • Assisted Living Facility
  • Everett, WA
  • NPI 1194986778
  NPD (past)
• Brookdale Senior Living Communities, Inc.

  • Assisted Living Facility
  • Lynnwood, WA
  • NPI 1760174528
  NPD (past)
• Burakovskiy DPM PC

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
  • NPI 1881777266
  NPD (past)
• Emeritus Corporation

  • Assisted Living Facility
  • Stanwood, WA
  • NPI 1801587357
  NPD (past)
• Everett Heritage Court

  • Exclusive Provider Organization
  • Everett, WA
  • NPI 1285895730
  NPD (past)
• Fifth Avenue Internal Medicine, Inc

  • Internal Medicine Physician
  • Seattle, WA
  • NPI 1740367929
  NPD (past)

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922122811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11014 19TH AVE SE",
            "address_2": "STE. 8 PMB #320",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982085132",
            "telephone_number": "425-252-0203",
            "fax_number": "425-337-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 EASTVIEW AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083516",
            "telephone_number": "425-252-0203",
            "fax_number": "425-337-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RANDALL",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "WA",
            "license": "PO00000474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078963",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margaret S Fischer, ARNP
• John Eric Fishbaugher, PA-C
• Courtney Fisher, RDH
• Kierra Renee Fisher
• Mallory Elizabeth Fisher, M.A. LMHC
• Rebecca Nevissi Fisher, M.A., MHP, LMFT
• Albert Fisk, MD
• Taylor Fiskness
• Lydia Kae Fitch, RN
• Chassidy Fite

• Primary Podiatric Medicine Podiatrist in Everett, WA
• Providers in Everett, WA by specialty
• Primary Podiatric Medicine Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.