| Jonathan W Fish, MD | |
|
1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 | |
| (360) 856-4141 | |
| (360) 856-4145 |
| Full Name | Jonathan W Fish |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1990 Hospital Drive, Sedro-wooley, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629039599 | NPI | - | NPPES |
| 8275984 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD00039820 (Washington) | Primary |
| Entity Name | South Sound Inpatient Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023285756 PECOS PAC ID: 5991618738 Enrollment ID: O20031107000668 |
| Entity Name | Cogent Healthcare Of Washington, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861430522 PECOS PAC ID: 2062306350 Enrollment ID: O20040209000839 |
| Entity Name | Kittitas County Public Hospital Dist 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356375307 PECOS PAC ID: 0547179608 Enrollment ID: O20040213000046 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan W Fish, MD 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 Ph: (360) 856-4141 | Jonathan W Fish, MD 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284-9315 Ph: (360) 856-4141 |
Herbert Edwin Stickle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1990 Hospital Drive, Suite 100, Sedro-wooley, WA 98284 Phone: 360-856-4141 Fax: 360-856-4145 |