OrganizationActive
Thomas a Fisk MD
NPI 1376589481 · Non-Pharmacy Dispensing Site · Maitland, FL
Thomas a Fisk MD is a Non-Pharmacy Dispensing Site organization in Maitland, FL (NPI 1376589481).
Provider details
- NPI number
- 1376589481
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Direndia Shackelford, Managed Care Specialist(800) 654-0889
- License
- ME61050 (FL)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
New Interlochen Pediatrics
846 Lake Howell Rd
Maitland, FL 32751
Phone: (407) 767-2477
Fax: (407) 834-9822
Approximate (ZIP-level) locationGet directions
Mailing address
New Interlochen Pediatrics
Maitland, FL 32751
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Thomas a Fisk MD's NPI number?
- Thomas a Fisk MD's National Provider Identifier (NPI) is 1376589481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Thomas a Fisk MD?
- Thomas a Fisk MD is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Thomas a Fisk MD located?
- Thomas a Fisk MD's practice location on file with NPPES is New Interlochen Pediatrics, Maitland, FL 32751.
- What is Thomas a Fisk MD's phone number?
- The practice phone number listed in the NPPES registry for Thomas a Fisk MD is (407) 767-2477.
- Who is the authorized official for Thomas a Fisk MD?
- The authorized official listed on Thomas a Fisk MD's NPPES record is Direndia Shackelford, Managed Care Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Thomas a Fisk MD's NPI active?
- Yes — Thomas a Fisk MD's NPI (1376589481) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.