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ETHAN K FISHER MD NPI 1073522397


NPI Information

NPI: 1073522397
Provider Name: ETHAN K FISHER, MD
Classification: Anesthesiology - 207L00000X
Entity Type: Individual
Organization: MOUNTAIN WEST ANESTHESIA LLC

PECOS Registration: Yes

Address:
5121 S COTTONWOOD STREET
INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT
ZIP 84157
Phone: (801) 507-5248
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Ethan K Fisher, MD is an anesthesiology in Murray, UT with 31 years of experience. The provider is an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. Ethan K Fisher, MD NPI is 1073522397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

5121 S COTTONWOOD STREET
INTERMOUNTAIN MEDICAL CENTER
MURRAY, UT
ZIP 84157
Phone: (801) 507-5248
Fax: (801) 733-5618

The NPI 1073522397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of central venous catheter for infusion, patient 5 years or older (HCPCS:36556)

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/15/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207L00000XAnesthesiology96-323265-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1870545614FI2OTHERUTAHEDUCATORS MUTUAL
2G28988MEDICARE UPINUTAH
340044OTHERUTAHPEHP
48597445OTHERUTAHWORKERS COMP FUND
5805478500MEDICAIDIDAHO
61502954OTHERUTAHUMWA
7820721MEDICAIDARIZONA
8107007882102OTHERUTAHIHC
9PRA04837OTHERUTAHMOLINA
10QM0000075886OTHERUTAHALTIUS
112090168OTHERUTAHUNITED HEALTHCARE
1227753OTHERUTAHHEALTHY U
13281279OTHERUTAHDMBA
14005532764MEDICARE ID-TYPE UNSPECIFIEDUTAH
15050059502MEDICARE ID-TYPE UNSPECIFIEDUTAHRAILROAD MEDICARE
16100501227MEDICAIDIDAHO
17112422600MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/7/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.