Individual provider Active NPI

Robert Tyler Fisher, CRNA

  • Certified Registered Nurse Anesthetist
  • New Albany, OH
National Provider Identifier
1134650294
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN.CRNA.019471 Issued in OH
Practice address
5031 Forest Dr Ste C
New Albany, OH 43054-7088
Phone
(614) 939-5416
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.019471 OH Primary

Addresses

Primary practice location

5031 Forest Dr Ste C
New Albany, OH 43054-7088

Mailing address

5031 Forest Dr Ste C
New Albany, OH 43054-7088
Phone (614) 939-5416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170414000615 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800172412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Albany Orthopedic Anesthesia LLC CurrentSince Apr 15, 2017 Accepting new patients
Orange ASC, LTD Past Accepting new patients
Pain Zero, LLC PastSince Feb 1, 2022 Accepting new patients

Locations

3600 Stelzer Rd
Ste 100
Columbus, OH 43219
Phone (614) 255-2900

5031 Forest Dr
Ste C
New Albany, OH 43054
Phone (614) 647-2526

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AJGGCD

Organizations & group practices 3

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1134650294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 FOREST DR STE C",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547088",
            "telephone_number": "614-939-5416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 FOREST DR STE C",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430547088",
            "telephone_number": "614-939-5416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ROBERT",
        "middle_name": "TYLER",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.019471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.