Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIDNEY MARK FISHMAN, MD
DeactivatedDR. SIDNEY MARK FISHMAN, MD is a Otology & Neurotology healthcare provider located in NEWPORT BEACH, California. NPI 1417953043 is deactivated in the NPPES registry. Verify at CMS.
Otology & Neurotology · NEWPORT BEACH, CA
This NPI has been deactivated.
The record was deactivated on April 4, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1417953043
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2005 (0.76712328767123 yrs)
- Last Updated
- Dec 4, 2024
- Deactivated
- Apr 4, 2006
- Licenses
-
AF7229455 (CA)AF7229455 (CA)AF7229455 (CA)
Practice Information
- Address
-
40 OCEAN VISTANEWPORT BEACH, CA, 92660Browse CA providers · Browse ZIP 92660
- Phone
- 9497058992
- Fax
- 5625965703
- Primary Specialty
-
Otology & Neurotology
207YX0602X
- Additional Specialty
- Otology & Neurotology
- Additional Specialty
- Pediatric Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.