Provider Demographics
NPI:1104155233
Name:FISCHER, CINDA J (PA)
Entity type:Individual
Prefix:
First Name:CINDA
Middle Name:J
Last Name:FISCHER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N JUSTICE ST
Mailing Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28791-3410
Mailing Address - Country:US
Mailing Address - Phone:239-898-5700
Mailing Address - Fax:828-694-7722
Practice Address - Street 1:800 N JUSTICE ST
Practice Address - Street 2:EMERGENCY MEDICINE DEPARTMENT
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3410
Practice Address - Country:US
Practice Address - Phone:239-898-5700
Practice Address - Fax:828-694-7722
Is Sole Proprietor?:No
Enumeration Date:2009-12-21
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9105291363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001725700Medicaid
FLP986614OtherFREEDOM HEALTH
FL9011614OtherAETNA
FLP931610OtherOPTIMUM
FLY05N8OtherBCBS FL
FLCT141YMedicare PIN