THOMAS A FISK MD
NPI 1376589481
Non-Pharmacy Dispensing Site in Maitland, FL

Q: What is Thomas A Fisk MD's NPI number?

The NPI number for Thomas A Fisk MD is 1376589481. It was assigned to this organization in the NPPES registry on June 20, 2006.

Q: What is Thomas A Fisk MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas A Fisk MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2006

NEW INTERLOCHEN PEDIATRICS, 846 LAKE HOWELL RD, MAITLAND, FL 32751(407) 767-2477(407) 834-9822 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Thomas A Fisk Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS A FISK MD (NPI 1376589481) is a healthcare organization registered as a non-pharmacy dispensing site in Maitland, Florida and active in the NPI registry since June 2006. The organization lists Direndia Shackelford, Managed Care Specialist, as its authorized official.

NPPES Registry Identity

NPI1376589481

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameTHOMAS A FISK MD

Location AddressNEW INTERLOCHEN PEDIATRICS, 846 LAKE HOWELL RDMaitland, FL 32751

Mailing AddressNew Interlochen Pediatrics, 846 Lake Howell RdMaitland, FL 32751

Phone(407) 767-2477

Fax(407) 834-9822

Organization SubpartNo

Authorized OfficialDirendia ShackelfordManaged Care Specialist · (800) 654-0889

Enumeration DateJune 20, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376589481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in FL · ME61050

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

NEW INTERLOCHEN PEDIATRICS, Maitland, FL 32751

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Other Identifiers 2

Medicaid58690100FL

Other1084312Other Id Number-commercial Number

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas A Fisk MD's NPI number?

The NPI number for Thomas A Fisk MD is 1376589481. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is Thomas A Fisk MD located?

Thomas A Fisk MD is located at New Interlochen Pediatrics 846 Lake Howell Rd, Maitland, FL 32751. The listed phone number is (407) 767-2477.

What is Thomas A Fisk MD's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Thomas A Fisk MD was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.