Active NPI
Samantha Hope Fisher, M.D.
- Dermatology Physician
- Naples, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- ME106710
- Practice address
- 2235 Venetian Court
Suite 1
Naples, FL 34109-8728 - Phone
- (239) 596-9337
- Fax
- (239) 596-9466
- NPI assigned
- Jun 29, 2007
- Last updated
- Aug 29, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | ME106710 | FL | Primary |
| Internal Medicine Physician | 207R00000X | TRN11499 | FL |
Addresses
Primary practice location
2235 Venetian Court
Suite 1
Naples, FL 34109-8728
Mailing address
2235 Venetian Court
Suite 1
Naples, FL 34109-8728
Phone (239) 596-9337
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003744100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Florida College of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10111 W Forest Hill Blvd
Suite 100
Wellington, FL 33414-6141
Phone (561) 798-1649
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 21 |
| Removal of skin lesions | 1262 |
| Removal of skin cancer | 178 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 386 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN11499 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatology Associates of the Palm Beaches PLLC | Dermatology | Current | Accepting new patients |
| Woodruff Institute LLC | Dermatology | Past | Accepting new patients |
Locations
10335 N Military Trl
Ste A
Palm Beach Gardens, FL 33410
Phone (561) 622-6976
10111 Forest Hill Blvd
Rm 100
West Palm Bch, FL 33414
Phone (561) 753-8366
1551 Forum Pl
Ste 100A
West Palm Beach, FL 33401
Phone (561) 659-1510
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1649260308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1114124542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2235 VENETIAN COURT",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341098728",
"telephone_number": "239-596-9337",
"fax_number": "239-596-9466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 VENETIAN COURT",
"address_2": "SUITE 1",
"city": "NAPLES",
"state": "FL",
"postal_code": "341098728",
"telephone_number": "239-596-9337",
"fax_number": "239-596-9466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "SAMANTHA",
"middle_name": "HOPE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME106710",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "TRN11499",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003744100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
- Fisher Chiropractic LLC
- Brad Michael Fisher, D.C.
- Caleb Jack Fisher, D.C.
- Danielle Lauren Fisher, PA-C
- George Briton Fisher III, D.O.
- Fit for Life Health Services LLC (Fit For Life Health Services)
- Fit for Life Health Services PA
- Juliana Grace Fitzgerald, DDS
- Meghan Mair Fitzgerald, APRN
- Five Star Quality Care-FL, LLC (Tuscany Villa of Naples)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.