Organization Active NPI

Fisher Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Cartersville, GA
National Provider Identifier
1013038587
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
000939 Issued in GA
Legal business name
FISHER FOOT AND ANKLE
Practice address
1124 North Tennessee St
Suite 104
Cartersville, GA 30120-7938
Phone
(770) 386-4111
Fax
(770) 386-4905
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Dana Justine Fisher, D.P.M.
Title
Owner/Practitioner
Phone
(770) 386-4111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 000939 GA Primary

Addresses

Primary practice location

1124 North Tennessee St
Suite 104
Cartersville, GA 30120-7938

Mailing address

1124 North Tennessee St
Suite 104
Cartersville, GA 30120-7938
Phone (770) 386-4111

National Provider Directory

National Provider Directory

Locations

1010 N Tennessee St
Ste 114
Cartersville, GA 30120
Phone (770) 386-4111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1013038587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 NORTH TENNESSEE ST",
            "address_2": "SUITE 104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207938",
            "telephone_number": "770-386-4111",
            "fax_number": "770-386-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 NORTH TENNESSEE ST",
            "address_2": "SUITE 104",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301207938",
            "telephone_number": "770-386-4111",
            "fax_number": "770-386-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FOOT AND ANKLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "JUSTINE",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "770-386-4111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.