Individual
MRS. TRACY SCHOTT FISCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4421
(502) 587-4840
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
30492
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000057678
ANTHEM OF KENTUCKY
—
01
—
029882600
FEDERAL BLACK LUNG
—
01
—
100461710A
MEDICAID
IN
01
—
1063880
PASSPORT
KY
05
—
64877970
—
KY
01
—
930059273
RAILROAD MEDICARE
—
Enumeration date
01/09/2006
Last updated
12/01/2020
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