Individual provider Active NPI

Samantha Hope Fisher, M.D.

  • Dermatology Physician
  • Naples, FL
National Provider Identifier
1114124542
Registry record updated Aug 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME106710 Issued in FL
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
003744100MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110808000834 FL Practitioner - DermatologyPractitioner - Internal Medicine 8628247608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
University of Florida College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of the Palm Beaches PLLCGroup PAC ID 6709861602, 13 clinicians

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 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision21
Removal of skin lesions1262
Removal of skin cancer178
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN11499FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of the Palm Beaches PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients
Woodruff Institute LLC Dermatology PastSince Jan 17, 2003 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.

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

Sources for this page

Verify at the official NPI Registry.