Active NPI
Gerald C. Fischer, MPAS, ATC
- Physician Assistant
- Salt Lake City, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4977407-1206
- Practice address
- 127 S 500 E Ste 140
Salt Lake City, UT 84102-2076 - Phone
- (801) 587-6307
- Fax
- (801) 587-6313
- NPI assigned
- Apr 2, 2007
- Last updated
- Dec 23, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4977407-1206 | UT | Primary |
Addresses
Primary practice location
127 S 500 E Ste 140
Salt Lake City, UT 84102-2076
Mailing address
1348 E Silvercrest Dr
Sandy, UT 84093-2321
Phone (801) 568-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care PA | Current | Accepting new patients | |
| American Current Care P.a. | Current | Accepting new patients | |
| University Health Care Quick Clinic | Physician Assistant | Past | Accepting new patients |
Locations
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
385 W 9000 S
Sandy, UT 84070
Phone (801) 562-5200
1735 S Redwood Rd
Ste 115
Slc, UT 84104
Phone (801) 973-4434
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1003090879
UT
-
dba Concentra Urgent Care
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Physician Assistant
- Holladay, UT
- NPI 1376645671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482451200000",
"number": "1053432815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1348 E SILVERCREST DR",
"city": "SANDY",
"state": "UT",
"postal_code": "840932321",
"telephone_number": "801-568-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 S 500 E STE 140",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841022076",
"telephone_number": "801-587-6307",
"fax_number": "801-587-6313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "GERALD",
"middle_name": "C.",
"credential": "MPAS, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-02",
"last_updated": "2016-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "4977407-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.