Sean Michael Fisher, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD61562207 Issued in WA

Practice address

7800 SE 27TH St Ste Cu100
Mercer Island, WA 98040-3087

Phone

(402) 290-5595

NPI assigned

Apr 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1492214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1063946101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 SE 27TH ST STE CU100",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403087",
            "telephone_number": "402-290-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 SE 27TH ST STE CU100",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980403087",
            "telephone_number": "402-290-5595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1503 2nd Ave W",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981193007",
            "country_code": "US",
            "telephone_number": "402-290-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SEAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-15",
        "last_updated": "2024-07-18",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "WA",
            "license": "MD61562207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Alexandra Felker, DDS
• Hollyann Alyssa Feller, DMD
• Irma Manalansan Fernandez, PHARMACIST
• Phyllis Fiedler, PHD
• Bruno Fiorentini
• Ashley Fletcher, MSOTR/L
• Susan Marie Fletcher, MSPT, DPT
• Robin H Fontana, ARNP
• Lora R. Ford, PSYD PLLC
• Fred Meyer Stores Inc

• Plastic and Reconstructive Surgery Physician in Mercer Island, WA
• Providers in Mercer Island, WA by specialty
• Plastic and Reconstructive Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.

Verify at the official NPI Registry.