Active NPI
Philip Flint Fisher, DO
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- South Point, OH
National Provider Identifier
1013996503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- WV1480
- Practice address
- 804-1/2 Solida Rd.
South Point, OH 45680 - Phone
- (304) 736-2981
- Fax
- (304) 736-2985
- NPI assigned
- Jan 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | WV1480 | WV | |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | WV1480 | WV | Primary |
Addresses
Primary practice location
804-1/2 Solida Rd.
South Point, OH 45680
Mailing address
3554 US RT 60 East
Barboursville, WV 25504
Phone (304) 736-2981
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FI0786325 | Other | WV | PTAN |
| 001706518 | Other | BLUE CROSS BLUE SHIELD | |
| 7728465001 | Other | CIGNA | |
| 5922061 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV1480 | WV | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pairodocs Inc | Physical Medicine & Rehabilitation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Barboursville, WV
- NPI 1407835911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321833600000",
"number": "1013996503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3554 US RT 60 EAST",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "25504",
"telephone_number": "304-736-2981",
"fax_number": "304-736-2985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804-1/2 SOLIDA RD.",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "45680",
"telephone_number": "304-736-2981",
"fax_number": "304-736-2985"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "PHILIP",
"middle_name": "FLINT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-12",
"last_updated": "2011-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "WV",
"license": "WV1480",
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "WV",
"license": "WV1480",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "FI0786325",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "001706518",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7728465001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5922061",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in South Point, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.