Organization Active NPI

Beverly a Fischer MD P a

  • Ambulatory Surgical Clinic/Center
  • Timonium, MD
National Provider Identifier
1053664136
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BEVERLY A FISCHER MD P A
Practice address
12205 Tullamore Rd
Timonium, MD 21093-7816
Phone
(410) 308-4700
Fax
(410) 308-4704
NPI assigned
Oct 26, 2012
Last updated
Feb 6, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Beverly A. Fischer, M.D.NPI 1538199096
Title
Owner
Phone
(410) 308-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X MD Primary

Addresses

Primary practice location

12205 Tullamore Rd
Timonium, MD 21093-7816

Mailing address

12205 Tullamore Rd
Timonium, MD 21093-7816
Phone (410) 308-4700

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1053664136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 TULLAMORE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-308-4700",
            "fax_number": "410-308-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 TULLAMORE RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210937816",
            "telephone_number": "410-308-4700",
            "fax_number": "410-308-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A FISCHER MD P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-26",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "FISCHER",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-308-4700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.