Organization Active NPI

S J Fisher and Associates Foot and Ankle Specialist PA

  • Podiatrist
  • Houston, TX
National Provider Identifier
1104839331
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
S J FISHER AND ASSOCIATES FOOT AND ANKLE SPECIALIST PA
Practice address
5151 Katy Fwy Ste 200
Houston, TX 77007
Phone
(832) 673-0500
Fax
(832) 673-0060
NPI assigned
Aug 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Dr. Sybil J Fisher, DPMNPI 1558338848
Title
Owner
Phone
(832) 673-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

5151 Katy Fwy Ste 200
Houston, TX 77007

Mailing address

5151 Katy Fwy Ste 200
Houston, TX 77007-2261
Phone (832) 673-0500

Other identifiers 1

IdentifierTypeStateIssuer
174664602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040910000140 TX Part B Supplier - Clinic/Group Practice 9234106220 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Houston, TX; Sugar Land, TX
O20100930082783 TX DME Supplier - Physician - Podiatry 9234106220 Practice locations: Houston, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1104839331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 KATY FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072261",
            "telephone_number": "832-673-0500",
            "fax_number": "832-673-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 KATY FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77007",
            "telephone_number": "832-673-0500",
            "fax_number": "832-673-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J FISHER AND ASSOCIATES FOOT AND ANKLE SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-673-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174664602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.