Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Peter E. Fisk, MD

Individual provider Surgery Physician · NPI 1619001468

Dr. Peter E. Fisk, MD is a General Surgery in Latham, New York. Graduated from University of Vermont College of Medicine in 2002, 24 years ago. Practices with Southwestern Vermont Medical Center, Inc, a 176-clinician group and accepts Medicare assignment. Licensed in Illinois, New York and Vermont.

Years since qualifying
24
Trained at
University of Vermont College of Medicine
Licensed in
IL, NY, VT
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6 Wellness Way Ste G03
Latham, NY 12110-2156
Phone: (518) 785-5884
Fax: (518) 783-6890
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 249922 (NY)
Surgery Physician Taxonomy 208600000X · Licence 036118047 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 060-0003317 (VT)

Record details

NPI number1619001468
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 15, 2007
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address6 Wellness Way Ste 201, Latham, NY 12110-2156

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Southwestern Vermont Medical Center, Inc — 176 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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