Provider Demographics
NPI:1851378327
Name:FISCHER, ALICIA E (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:E
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 HARRODSBURG RD
Mailing Address - Street 2:SUITE A440
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3751
Mailing Address - Country:US
Mailing Address - Phone:859-278-4172
Mailing Address - Fax:859-313-3541
Practice Address - Street 1:1401 HARRODSBURG RD
Practice Address - Street 2:SUITE A440
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3751
Practice Address - Country:US
Practice Address - Phone:859-278-4172
Practice Address - Fax:859-313-3541
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY02832207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY64083785Medicaid
KY000000335978OtherANTHEM BCBS
0758310Medicare PIN
H93639Medicare UPIN
KY0654813Medicare PIN
KY000000335978OtherANTHEM BCBS
KY0614815Medicare ID - Type Unspecified
KY64083785Medicaid