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MAXWELL ELLIS FISHER M.D., NPI 1962404103

Internal Medicine in GREENVILLE, NC

Last Updated on : Dec 20,2011

MAXWELL ELLIS FISHER M.D., NPI 1962404103

About MAXWELL ELLIS FISHER (NPI 1962404103)


MAXWELL ELLIS FISHER is an Internal Medicine provider in GREENVILLE, United States. His medical specialization is Internal Medicine with a focus in Nephrology.

1962404103 is NPI number of MAXWELL ELLIS FISHER.

MAXWELL ELLIS FISHER's primary taxonomy code based on NPI Lookup is 207RN0300X with license number 200400329. This taxonomy code refers to Internal Medicine.

MAXWELL ELLIS FISHER has more than 17 years of experience.

MAXWELL ELLIS FISHER current practice location address is 511 PALADIN DR, GREENVILLE, NC. MAXWELL ELLIS FISHER can be reached out via phone at 252-752-8880 and via fax at 252-317-2092 .

You can also correspond with MAXWELL ELLIS FISHER through mail at mailing address 511 PALADIN DR, GREENVILLE, NC, United States. Mailing address contact number is 252-752-8880.

The enumeration date of MAXWELL ELLIS FISHER is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 12 years ago.

1962404103 NPI Information

Basic NPI information of MAXWELL ELLIS FISHER (NPI 1962404103) is provided below.

Name MAXWELL ELLIS FISHER
National Provider Id (NPI) 1962404103
Entity Type Individual
Gender M
Credential M.D.
Practice Address 511 PALADIN DR,
GREENVILLE, NC, United States
Practice Telephone 252-752-8880
Practice Fax Number 252-317-2092
Mailing Address 511 PALADIN DR ,
GREENVILLE, NC, United States
Mailing Telephone 252-752-8880
Mailing Fax Number 252-317-2092
Enumeration Date 01-Jun-2005
Last Updated Date 20-Dec-2011

MAXWELL ELLIS FISHER (NPI 1962404103) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207RN0300X Internal Medicine, Nephrology 200400329 NC

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
2282831 MEDICARE ID-Type Unspecified (04)
89128K0 MEDICAID (05) NC
G68058 MEDICARE UPIN (02)

MAXWELL ELLIS FISHER (NPI 1962404103) Office Location

Office location of MAXWELL ELLIS FISHER is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1639228471 BUTLER COUNTY HEALTH DEPT-GEORGIANA MAT Public Health or Welfare PO BOX 339,
GREENVILLE, AL, United States
10-Jan-2007
1639228612 BUTLER COUNTY HEALTH DEPT-GREENVILLE MAT Public Health or Welfare PO BOX 339,
GREENVILLE, AL, United States
09-Jan-2007
1760928808 JENNIFER COKER Nurse Practitioner, Family PO BOX 926,
EVERGREEN, AL, United States
12-Jan-2017
1053381905 THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI Home Health 104 CAMELLIA AVE, SUITE B
GREENVILLE, AL, United States
24-Jan-2006
1437613049 TARA MOLLUS Nurse Practitioner, Family 46 L V STABLER DR,
GREENVILLE, AL, United States
28-Jan-2019
1245201151 PRITHVIRAJ RAJARAM CHAVAN Orthopaedic Surgery 300 N COLLEGE ST,
GREENVILLE, AL, United States
30-Jan-2006
1811968308 THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI Psychiatric Unit 29 L V STABLER DR,
GREENVILLE, AL, United States
01-Feb-2006
1720059215 THE HEALTH CARE AUTHORITY OF THE CITY OF GREENVILLE - LV STABLER HOSPI Medicare Defined Swing Bed Unit 29 L V STABLER DR,
GREENVILLE, AL, United States
01-Feb-2006
1144468851 JESSICA GREGORY CAMPBELL Nurse Practitioner, Family 300 N COLLEGE ST,
GREENVILLE, AL, United States
03-Feb-2009
1609915974 ANNE HARMON KEEN Nurse Practitioner, Pediatrics 46 L V STABLER DR,
GREENVILLE, AL, United States
05-Feb-2007
1093788713 CAMELLIA CITY EMS Ambulance 1187 VICKERY RD,
GREENVILLE, AL, United States
12-Feb-2006
1245372168 IVY CREEK OF BUTLER, LLC. Clinic/Center, Rural Health 125 CHURCH STREET,
GEORGIANA, AL, United States
14-Feb-2007
1669515086 BUTLER COUNTY HEALTH DEPT-GEORGIANA ADULT IMMUN Public Health or Welfare PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007
1255474706 BUTLER COUNTY HEALTH DEPT-GREENVILLE ADULT IMMUN Public Health or Welfare PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007
1487797809 BUTLER COUNTY HEALTH DEPT-GEORGIANA CHILD Case Management PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007
1164565610 BUTLER COUNTY HEALTH DEPT-GREENVILLE CHILD Case Management PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007
1912040338 BUTLER COUNTY HEALTH DEPT-GEORGIANA FP CLINIC Public Health or Welfare PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007
1043353592 BUTLER COUNTY HEALTH DEPT-GREENVILLE FP CLINIC Public Health or Welfare 350 AIRPORT RD,
GREENVILLE, AL, United States
15-Feb-2007
1629111828 BUTLER COUNTY HEALTH DEPT-GEORGIANA AIDS Case Management PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007
1821131244 BUTLER COUNTY HEALTH DEPT-GREENVILLE AIDS Case Management PO BOX 339,
GREENVILLE, AL, United States
15-Feb-2007

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1962404103?

1962404103 is the NPI number of MAXWELL ELLIS FISHER.

What is the specialty for MAXWELL ELLIS FISHER?

The Specialty of MAXWELL ELLIS FISHER is Internal Medicine.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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