Active NPI
William L Fisher, PA-C
- Physician Assistant
- Wausau, WI
National Provider Identifier
1053427765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 821
- Practice address
- 5200 Hummingbird Rd
Ste 100
Wausau, WI 54401-6312 - Phone
- (715) 359-6442
- Fax
- (715) 393-0390
- NPI assigned
- Aug 23, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 821 | WI | Primary |
| Surgical Physician Assistant | 363AS0400X | 821 | WI |
Addresses
Primary practice location
5200 Hummingbird Rd
Ste 100
Wausau, WI 54401-6312
Mailing address
5200 Hummingbird Rd
Ste 100
Wausau, WI 54401-6312
Phone (715) 359-6442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42957200 | Medicaid | WI |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 821 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bone & Joint Clinic S.C. | Surgical | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333065600000",
"number": "1053427765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 HUMMINGBIRD RD",
"address_2": "STE 100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544016312",
"telephone_number": "715-359-6442",
"fax_number": "715-393-0390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 HUMMINGBIRD RD",
"address_2": "STE 100",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544016312",
"telephone_number": "715-359-6442",
"fax_number": "715-393-0390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "WILLIAM",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-23",
"last_updated": "2012-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "821",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "821",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42957200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.