Maureen Janet Fisher, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

694 Issued in NE

Practice address

4230 Hamilton Blvd
Urgent Care North Side
Sioux City, IA 51104

Phone

(712) 224-5550

NPI assigned

May 5, 2006

Reactivated

Jul 18, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Maureen Pierce Fisher Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Winnebago Indian Health Service

  • General Acute Care Hospital
  • Winnebago, NE
  • NPI 1659392454
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1023066610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HAMILTON BLVD",
            "address_2": "URGENT CARE NORTH SIDE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51104",
            "telephone_number": "712-224-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 HAMILTON BLVD",
            "address_2": "URGENT CARE NORTH SIDE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "51104",
            "telephone_number": "712-224-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MAUREEN",
        "middle_name": "JANET",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-07-18",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NE",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "FISHER",
            "middle_name": "PIERCE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nevaeh Fetterman
• Claire Fettig, MOT, OTR/L
• Joshua Robert Feuerstein, RN
• Sharon K Fey, PA C
• Anna Rachelle Fisher, D.C.
• Diane K. Fitch, PA-C
• Alex Kay Flanigan
• Tonya Flaugh, NP
• Alfred D Fleming, M.D.
• Nancy Fletcher, PHARM.D.

• Medical Physician Assistant in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.