DR. JACK MARK FISHAUT MD
NPI 1891779195
Pediatrics in Friday Harbor, WA
NPI Status: Active since December 01, 2005
Contact Information
235 BLAIR AVE
FRIDAY HARBOR, WA
ZIP 98250
Phone: (360) 370-5971
Fax: (360) 370-5980
- Individual
- Male
- Pediatrics
- Accepts Insurance
About JACK FISHAUT
This page provides the complete NPI Profile along with additional information for Jack Fishaut, a pediatrician established in Friday Harbor, Washington with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1891779195 assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number MD00040965 (WA). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1891779195
- Provider Name
- DR. JACK MARK FISHAUT MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 235 BLAIR AVE FRIDAY HARBOR, WA 98250
- Location Phone
- (360) 370-5971
- Location Fax
- (360) 370-5980
- Mailing Address
- PO BOX 796 FRIDAY HARBOR, WA 98250
- Mailing Phone
- (360) 370-5971
- Mailing Fax
- (360) 370-5980
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-01-2005
- Last Update Date
- 03-07-2023
- Code Navigator
A pediatrician like Jack Fishaut is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00040965
- License State
- WA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Core Bronze HSA 10600 - EPO
- Core Bronze HSA 7500 - EPO
- Core Bronze HSA 8300 - EPO
- Core Gold 1500 - EPO
- Core Gold 3000 - EPO
- Core Silver 3500 - EPO
- Core Silver 4500 - EPO
- Core Silver 5000 - EPO
- Core Silver 7500 - EPO
- Core Standard Expanded Bronze HSA - EPO
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 361929500 | OTHER (01) | PARK NATL L & L | |
| 532300004 | OTHER (01) | GROUP HEALTH | |
| 4952FI | OTHER (01) | REGENCE BLUE SHIELD | |
| 912109329 | OTHER (01) | UNIFORM | |
| 912109329 | OTHER (01) | CHPW | |
| 912109329 | OTHER (01) | PREMERA BLUE CROSS | |
| LABOR AND INDUSTRIES | OTHER (01) | 0182789 | |
| 8387367 | OTHER (01) | DSHS MEDICAID | |
| 912109329 | OTHER (01) | FIRST CHOICE | |
| 8930937 | OTHER (01) | CRIME VICTIMS |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1891779195, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891779195, enumerated as an "individual" on December 01, 2005.
The provider is located at 235 BLAIR AVE FRIDAY HARBOR, WA 98250 and the phone number is (360) 370-5971.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.
