Johnnie G Fisher, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D7036 Issued in TX

Practice address

2700 Citizens PLZ
Suite 300
Victoria, TX 77901-5754

Phone

(361) 578-8633

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Gulf Bend Mental Health Mental Retardation Center

  • Professional Counselor
  • Victoria, TX
  • NPI 1467434399

  Psychiatry

  NPD (past)
• Victoria Women'S Clinic Associates

  • Obstetrics Physician
  • Victoria, TX
  • NPI 1366483257
  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124151394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ",
            "address_2": "SUITE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015754",
            "telephone_number": "361-578-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 CITIZENS PLZ",
            "address_2": "SUITE 300",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015754",
            "telephone_number": "361-578-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOHNNIE",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "D7036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lexey Fender, MA LPC
• Brian Kenji Ferguson, DO
• Edward V Ferrell Jr., M.D.
• Howell Mallory Finch III, DO
• Mary Rea Finehout, DC
• Mark Fitzsimmons, LPC
• Julia A. Flores, M.D.
• Valorie Flores, APRN, FNP-C
• Ann Flowers, RN, MSN, NP-C
• Elizabeth Floyd, PHARM.D.

• Psychiatry Physician in Victoria, TX
• Providers in Victoria, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.