Provider Demographics
NPI:1891763967
Name:FISHERS FAMILY PHYSICIANS
Entity Type:Organization
Organization Name:FISHERS FAMILY PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-841-4036
Mailing Address - Street 1:11845 ALLISONVILLE RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2313
Mailing Address - Country:US
Mailing Address - Phone:317-842-2727
Mailing Address - Fax:317-841-4046
Practice Address - Street 1:11845 ALLISONVILLE RD
Practice Address - Street 2:SUITE 400
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2313
Practice Address - Country:US
Practice Address - Phone:317-842-2727
Practice Address - Fax:317-841-4046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN313830Medicare ID - Type Unspecified