Stephen N Fisher MD a Medical Corporation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

G54042 Issued in CA

Legal business name

STEPHEN N FISHER MD A MEDICAL CORPORATION

Practice address

1321 Howe Ave
Suite 225
Sacramento, CA 95825-3365

Phone

(916) 564-2225

Fax

(916) 564-5926

NPI assigned

Dec 4, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Neal Fisher, M.D.

Title

Incorporator

Phone

(412) 606-1681

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1291420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291420800000",
    "number": "1104128636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE",
            "address_2": "SUITE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-564-2225",
            "fax_number": "916-564-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 HOWE AVE",
            "address_2": "SUITE 225",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958253365",
            "telephone_number": "916-564-2225",
            "fax_number": "916-564-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN N FISHER MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-04",
        "last_updated": "2010-12-04",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "412-606-1681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G54042",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G54042",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Russell Dwayne Stephen
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• Health Service Clinic/Center in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2010; 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.