Individual provider Active NPI

Peter Fisher, M.D.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1124118328
Registry record updated Dec 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H7142 Issued in TX
Practice address
7950 Floyd Curl Dr
Ste. 904
San Antonio, TX 78229-3919
Phone
(210) 616-0798
Fax
(210) 616-0581
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X H7142 TX Primary

Addresses

Primary practice location

7950 Floyd Curl Dr
Ste. 904
San Antonio, TX 78229-3919

Mailing address

Medical Center Tower 1, 7950 Floyd Curl Dr
Suite 1009
San Antonio, TX 78229-3926
Phone (210) 616-0798

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120516000301 TX Practitioner - Plastic and Reconstructive Surgery 9133382823

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
H7142TXMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482192000000",
    "number": "1124118328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENTER TOWER 1, 7950 FLOYD CURL DR",
            "address_2": "SUITE 1009",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293926",
            "telephone_number": "210-616-0798",
            "fax_number": "210-616-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 FLOYD CURL DR",
            "address_2": "STE. 904",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293919",
            "telephone_number": "210-616-0798",
            "fax_number": "210-616-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2016-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H7142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.