Fisher Foot Clinic, LLC

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

00567 Issued in SC

Legal business name

FISHER FOOT CLINIC, LLC

Practice address

135 Express LN
Orangeburg, SC 29118-2475

Phone

(803) 536-2100

Fax

(803) 536-4399

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dana J Fisher, DPMNPI 1053360115

Title

Owner

Phone

(803) 536-2100

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC2 enrollments

Enrollment records 2

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Justine Fisher, DPM

  • Foot Surgery Podiatrist
  • Orangeburg, SC
  • NPI 1053360115
  Medicare reassignment NPD Authorized official
• Courtney Davis Bordenkecher, DPM

  • Foot & Ankle Surgery Podiatrist
  • Orangeburg, SC
  • NPI 1396734117
  Medicare reassignment
• Saima Ismaili, DPM

  • Podiatrist
  • Charleston, SC
  • NPI 1861660623
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449532800000",
    "number": "1093876757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 EXPRESS LN",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-536-2100",
            "fax_number": "803-536-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 EXPRESS LN",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182475",
            "telephone_number": "803-536-2100",
            "fax_number": "803-536-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER FOOT CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-12-08",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DANA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-536-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "SC",
            "license": "00567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP9922",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ta-Tanisha Favor, MD
• Mitchell Craig Feinman, M.D.
• Debra G Felder, R.PH
• Karie Gibbs Fersner, MSN, APRN
• Mosunmola Feyisara Filani
• Dana Justine Fisher, DPM
• Five Star Healthcare Services
• Cassandra Tisdale Fleming, R.PH.
• Tracy Flood
• Floyd Brace Company, Inc.

• Foot Surgery Podiatrist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Foot Surgery Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.