MR. GARY FISK (PA) – Surgical Physician Assistant, NPI 1891708491

MR. GARY FISK (PA) is a healthcare provider. based in Peoria, Illinois. specializing in Surgical Physician Assistant. They hold the professional credentials PA. They hold a License No. 085000405 (IL). The NPI Number for MR. GARY FISK (PA) is 1891708491

Main info

Male
Name
MR. GARY FISK (PA)
NPI
1891708491
Phone
(309) 691-4410
Address
5405 N KNOXVILLE AVE
Enumeration Date
14 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MR. GARY FISK (PA)

  • OSF HealthCare Cardiovascular Institute, 5405, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States

    PEORIA, IL 616145016

    Phone: (309) 691-4410

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61614)

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Reviews

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Frequently asked questions

Does MR. GARY FISK (PA) have a public NPI I can cite?
Public records show MR. GARY FISK (PA) under NPI 1891708491.
Does the public listing show MR. GARY FISK (PA) as active?
MR. GARY FISK (PA)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. GARY FISK (PA)?
NPPES ties MR. GARY FISK (PA) to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MR. GARY FISK (PA)?
MR. GARY FISK (PA) shows a connection to Peoria, Illinois in registry-derived data.
Why is information missing for MR. GARY FISK (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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