Gerald Lewis Fisher, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DS023657L Issued in PA

Practice address

2690 William Penn Ave
Suite 3
Johnstown, PA 15909-1029

Phone

(814) 322-3239

Fax

(814) 322-3459

NPI assigned

May 14, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037
• devoted network organization-598bd2d4-c652-473f-ba7a-132f674c8eb6
• devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003021734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2690 WILLIAM PENN AVE",
            "address_2": "SUITE 3",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091029",
            "telephone_number": "814-322-3239",
            "fax_number": "814-322-3459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2690 WILLIAM PENN AVE",
            "address_2": "SUITE 3",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159091029",
            "telephone_number": "814-322-3239",
            "fax_number": "814-322-3459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "GERALD",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS023657L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009239800002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erden Fikri, MD FACS
• Rachel Fine-Bracken, MA, LBS
• Dario Fiorelli, DO
• Eileen Tyler Fiorina, RD
• Mary Beth Fishburn-Fine, MSW
• Melynie Nicole Fisher, RN
• Flagship Rehabilitation, Inc.
• Olivia M Flick
• Taylor Faye Flick, PAC
• Monica Maria Flinn

• Dentist in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.