Tara L Fishback, PA-C
Tara L Fishback, PA-C is a Physician Assistant in Traverse City, Michigan. Graduated from University of New England, College of Osteo Medicine in 2013, 13 years ago. Practices with Munson Medical Center, a 377-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arizona, Maine, Michigan and Wisconsin.
- Years since qualifying
- 13
- Trained at
- University of New England, College of Osteo Medicine
- Licensed in
- AZ, ME, MI, WI
- In the registry since
- 2013
- Specialties on file
- 4
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
1221 Sixth St Ste 300Traverse City, MI 49684-2360
Phone: (231) 392-0640
Fax: (231) 392-0643
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (3)
- 250 E Dunlap Ave, Phoenix, AZ 85020-2825 — (602) 396-7491
- 498 Essex St Ste 105, Bangor, ME 04401-3990 — (207) 947-0558
- 50 Union St, Ellsworth, ME 04605 — (207) 664-5405
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601010328 (MI) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 5447 (AZ) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 3747-23 (WI) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA1799 (ME) |
Record details
| NPI number | 1528400629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 18, 2013 |
| Last updated in NPPES | July 19, 2021 |
| Certification date | July 19, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE |
| Graduated | 2013 (13 years in practice) |
| Group practice | Munson Medical Center — 377 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 6 on file with Medicare |
Other providers in Traverse City
-
Kirsten Michelle Crosby, PA-C
3074 N US 31 S, Traverse City, MI 49684-4533 · (231) 929-1234
-
Kurt O Crosby, PA
1105 6th St, Traverse City, MI 49684-2349 · (231) 947-0673
-
MS. Mary Kathryn Douglas, PAC
3074 N US 31 S, Traverse City, MI 49684-4533 · (231) 929-1234
-
George Lawrence Fichter, PA-C
4075 Copper Ridge Dr, Traverse City, MI 49684-7059 · (888) 632-0545
-
Derek Hendrickson, PA-C
1200 Sixth St Ste 200, Traverse City, MI 49684-2369 · (231) 935-5800
-
Michael R Howard, PA
1105 6th St, Traverse City, MI 49684-2349 · (231) 947-0673
-
Jesse Kogelman, PA-C
550 Munson Ave Ste 200, Traverse City, MI 49686-3580 · (231) 935-8717
-
Andrij Ihor Lawrin, PA
1105 Sixth St, Traverse City, MI 49684-2345 · (231) 922-9270