EDWARD NEIL FISHMAN D.O. NPI 1659512762

NPI Information

NPI: 1659512762
Provider Name: EDWARD NEIL FISHMAN, D.O.
Classification: Family Medicine - 207QA0505X
Entity Type: Individual

Specialization: Adult Medicine

PECOS Registration: Yes

Address:
5375 S FORT APACHE RD
LAS VEGAS, NV
ZIP 89148
Phone: (702) 253-6888
Get Directions

Edward Neil Fishman, D.O. is an adult medicine family medicine in Las Vegas, NV. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. Edward Neil Fishman, D.O. NPI is 1659512762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5375 S FORT APACHE RD
LAS VEGAS, NV
ZIP 89148-623
Phone: (702) 253-6888

The NPI 1659512762 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 enumeration date for this NPI number is 3/19/2009 and was last updated on 8/4/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QA0505X	Family Medicine	Adult Medicine	CA-20A6414	CALIFORNIA	No
2	207QA0505X	Family Medicine	Adult Medicine	OS-007153-L	PENNSYLVANIA	No
3	207QA0505X	Family Medicine	Adult Medicine	517	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	31449	MEDICARE PIN
2	E80793	MEDICARE UPIN	NEVADA

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: 4/28/2024

NPI Synchronization or Removal

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