Matthew John Fischer, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Appleton, WI
NPI 1083000319 · NPPES record last updated Nov 13, 2024
Key facts
- NPI
- 1083000319
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 66250 (WI)
- Practice address
- 2400 E Capitol Dr
Appleton, WI 54911-8728 - Phone
- (920) 831-5050
- NPI assigned
- Apr 14, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Thedacare, Incorporated
Practice addresses (Care Compare)
191 Memorial Dr
Suite 200
Berlin, WI 54923-1241
Phone (920) 361-6330
Hospital & facility affiliations
- Thedacare Regional Medical Center - Appleton Inc
- Thedacare Medical Center - Berlin Inc
- Thedacare Regional Med Ctr - Neenah
- Thedacare Medical Center - Shawano
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200803002548 | WI | Practitioner - Anesthesiology | 8123339678 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.148780 | IL | MD | Pain Medicine (Anesthesiology) Physician |
| 66250 | WI | MD | Pain Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare Medical Center - Berlin, Inc. | Current |
Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Current |
Accepting new patients | |
| Thedacare, Incorporated | Current |
Accepting new patients | |
| Thedacare, Incorporated | Current |
Accepting new patients |
Locations
2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
191 Memorial Dr
Ste 100
Berlin, WI 54923
Phone (920) 361-2500
191 Memorial Dr
Ste 200
Berlin, WI 54923
Phone (920) 361-6330
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
200 Theda Clark Medical Plz
Ste 240
Neenah, WI 54956
Phone (920) 725-2070
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
Interoperability endpoints
- mfischer295657@direct.thedacare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 66250 | WI | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036.148780 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 66250 | WI | Yes |
Addresses
Primary practice location
2400 E Capitol Dr
Appleton, WI 54911-8728
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 831-5050
Other practice location 1
600 Highland Ave
Uw Hospital and Clinics
Madison, WI 53792-0001
Phone (608) 263-8114
Other practice location 2
820 E Grant St
Appleton, WI 54911-3483
Phone (920) 831-5050
Other practice location 3
251 E Huron St # F5-704
Chicago, IL 60611-2908
Phone (920) 427-1616
Other providers in Appleton, WI
- Amanda Audrey Fischer
- Jennifer Fischer
- Jessica Jolee Fischer
- Maggie Elizabeth Fischer
- Matthew Fischer
- Shawn Allen Fischer
- Krista Ann Fish
- Courtney Fishel
- Jamie Fisher
- Jean M Fisher
All providers in Appleton, WI · Pain Medicine (Anesthesiology) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.