NPIMap

Individual provider Active NPI

Candy Sue Fischbach, PA-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1992703383
Registry record updated Apr 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA369 Issued in KY
Practice address
1228 Hogarth Dr
Louisville, KY 40222-5748
Phone
(502) 931-5231
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 369 KY
Physician Assistant 363A00000X PA369 KY Primary

Addresses

Primary practice location

1228 Hogarth Dr
Louisville, KY 40222-5748

Mailing address

1228 Hogarth Dr
Louisville, KY 40222-5748
Phone (502) 931-5231

Other identifiers 1

IdentifierTypeStateIssuer
000000246341OtherKYANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031223000261 KY Practitioner - Physician Assistant 7517865959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PA 545 clinicians

Practice addresses (Care Compare)

1825 Airport Exchange Blvd
Suite 100
Erlanger, KY 41018-3900
Phone (859) 647-6228

204 Bellaire Dr
Nicholasville, KY 40356-8840
Phone (859) 887-4882

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 369KYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Nov 1, 2022 Accepting new patients
American Current Care P.a. CurrentSince Nov 1, 2022 Accepting new patients

Locations

1825 Airport Exchange Blvd
Ste 100
Erlanger, KY 41018
Phone (859) 647-6228

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 26

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.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1992703383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 HOGARTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225748",
            "telephone_number": "502-931-5231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 HOGARTH DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402225748",
            "telephone_number": "502-931-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHBACH",
        "first_name": "CANDY",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KY",
            "license": "PA 369",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000246341",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.