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PAUL JORDAN FISHMAN MD NPI 1912014002


NPI Information

NPI: 1912014002
Provider Name: PAUL JORDAN FISHMAN, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Organization: GERIATRIC AND FAMILY MEDICINE ASSOCIATES PC

PECOS Registration: Yes

Address:
3885 UPHAM ST
100
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 742-0108
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Paul Jordan Fishman, MD is a geriatric medicine internal medicine in Wheat Ridge, CO with 53 years of experience. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. Paul Jordan Fishman, MD NPI is 1912014002. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF COLORADO SCHOOL OF MEDICINE, DENVER
Graduation Year:1971

The provider's business location address is:

3885 UPHAM ST
100
WHEAT RIDGE, CO
ZIP 80033-880
Phone: (303) 742-0108
Fax: (303) 742-0690

The NPI 1912014002 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 8/24/2006 and was last updated on 10/16/2012.


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
1207Q00000XFamily Medicine17709COLORADONo
2207RG0300XInternal MedicineGeriatric Medicine17709COLORADOYes

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
1110086492OTHERCOLORADORRW MEDICARE
2D23333MEDICARE UPIN
3C23018MEDICARE PINCOLORADO
401177096MEDICAIDCOLORADO

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: 11/14/2023

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.