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

Mr. Gregory D Fisk, PAC

Individual provider Physician Assistant · NPI 1164409637

Mr. Gregory D Fisk, PAC is a Physician Assistant in Omak, Washington. Qualified in 2002, 24 years ago. Practices with Okanogan Douglas County Hospital Dist 1, a 37-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
24
Licensed in
WA
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

529 Jasmine St
Omak, WA 98841-9589
Phone: (509) 826-1600
Fax: (509) 826-3633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60149531 (WA)

Record details

NPI number1164409637
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedDecember 27, 2005
Last updated in NPPESApril 20, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Okanogan Douglas County Hospital Dist 1 — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Omak