IndividualActive
Jack Fishaut, MD
NPI 1891779195 · Pediatrics Physician · Friday Harbor, WA
Jack Fishaut, MD is a Pediatrics Physician provider in Friday Harbor, WA (NPI 1891779195).
Provider details
- NPI number
- 1891779195
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00040965 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
235 Blair Ave
Friday Harbor, WA 98250-0796
Phone: (360) 370-5971
Fax: (360) 370-5980
Street-level locationGet directions
Mailing address
Po Box 796
Friday Harbor, WA 98250-0796
Registry dates
- Enumerated
- 2005-12-01
- Last updated
- 2023-03-07
- Certified
- 2022-02-11
Frequently asked questions
- What is Jack Fishaut's NPI number?
- Jack Fishaut's National Provider Identifier (NPI) is 1891779195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Fishaut's specialty?
- Jack Fishaut is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Jack Fishaut located?
- Jack Fishaut's practice location on file with NPPES is 235 Blair Ave, Friday Harbor, WA 98250-0796.
- What is Jack Fishaut's phone number?
- The practice phone number listed in the NPPES registry for Jack Fishaut is (360) 370-5971.
- Is Jack Fishaut's NPI active?
- Yes — Jack Fishaut's NPI (1891779195) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.