Individual provider Active NPI

Larry A. Fish, M.D., PH.D.

  • Ophthalmology Physician
  • Springfield, OH
National Provider Identifier
1124019187
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-06-2993 Issued in OH
Practice address
2330 E High St
Springfield, OH 45505-1371
Phone
(937) 324-3937
Fax
(937) 324-8943
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35-06-2993 OH Primary

Addresses

Primary practice location

2330 E High St
Springfield, OH 45505-1371

Mailing address

2330 E High St
Springfield, OH 45505-1371
Phone (937) 324-3937

Other identifiers 1

IdentifierTypeStateIssuer
0805749MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lfish@directaddress.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100520000831 OH Practitioner - Ophthalmology 3476680257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Goes Physicians IncGroup PAC ID 4789618174, 4 clinicians

Practice addresses (Care Compare)

2330 E High St
Springfield, OH 45505-1322
Phone (937) 324-3937

Merit-based Incentive Payment System (MIPS)

Final score
91.12 of 100Reported as group
Quality
99.62
Improvement activities
40
Cost
70.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Medical Center, LLC Current Accepting new patients
Goes Physicians Inc Ophthalmology CurrentSince Dec 17, 1996 Accepting new patients

Locations

921 Rush Ave
Bellefontaine, OH 43311
Phone (937) 324-3937

9 E 2nd St
London, OH 43140
Phone (740) 852-3440

2655 W National Rd
Springfield, OH 45504
Phone (937) 325-1531

2330 E High St
Springfield, OH 45505
Phone (937) 324-3937

900 Scioto St
Urbana, OH 43078
Phone (937) 652-1834

Interoperability endpoints

  • Direct secure messaging: lfish@directaddress.net
  • Direct secure messaging: lfish@direct.ovsurgical.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1124019187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051371",
            "telephone_number": "937-324-3937",
            "fax_number": "937-324-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 E HIGH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455051371",
            "telephone_number": "937-324-3937",
            "fax_number": "937-324-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISH",
        "first_name": "LARRY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-06-2993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0805749",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfish@directaddress.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2330 E High St",
            "city": "Springfield",
            "state": "OH",
            "country_code": "US",
            "postal_code": "455051371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

Verify at the official NPI Registry.