Individual provider Active NPI

Judith Fisher, M.D.

  • Dermatology Physician
  • York, ME
National Provider Identifier
1063510675
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
015408 Issued in ME
Practice address
519 US Route 1
Unit 2
York, ME 03909-1640
Phone
(207) 351-1266
Fax
(207) 363-4905
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 10992 NH
Dermatology Physician 207N00000X 015408 ME Primary

Addresses

Primary practice location

519 US Route 1
Unit 2
York, ME 03909-1640

Mailing address

401 Andover St
Suite 101
North Andover, MA 01845-5076
Phone (978) 691-5690

Other identifiers 4

IdentifierTypeStateIssuer
400918OtherHARVARD
01Y002813NH01OtherNHANTHEM NEW HAMPSHIRE
2432636OtherAETNA
039354OtherMEANTHEM MAINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040510000787 ME Practitioner - Dermatology 5799774246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Albert Einstein College of Medicine of Yeshiva University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

519 US Route 1
Unit 2
York, ME 03909-1683
Phone (207) 351-1266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.63 of 100Reported as group
Quality
84.27
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1049
Removal or shaving of skin growth1-10
Skin biopsy283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015408MEMDDermatology Physician
10992NHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Dermatology Associates, PC CurrentSince Jan 2, 2001 Accepting new patients
Neda at North Shore PC Dermatology CurrentSince Jan 2, 2001 Accepting new patients

Locations

3 Dundee Park Dr
Ste 202B
Andover, MA 01810

519 US Route 1
Unit 2
York, ME 03909
Phone (207) 351-1266

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

19 Hampton Rd
Exeter, NH 03833
Phone (603) 772-3456

Interoperability endpoints

  • Direct secure messaging: judith.fisher@pd.eclinicaldirectplus.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1063510675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ANDOVER ST",
            "address_2": "SUITE 101",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455076",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 US ROUTE 1",
            "address_2": "UNIT 2",
            "city": "YORK",
            "state": "ME",
            "postal_code": "039091640",
            "telephone_number": "207-351-1266",
            "fax_number": "207-363-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JUDITH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "10992",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "015408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "400918",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM NEW HAMPSHIRE",
            "identifier": "01Y002813NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2432636",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM MAINE",
            "identifier": "039354",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, ME

Sources for this page

Verify at the official NPI Registry.