Organization Active NPI

Mark Andrew Fisher MD

  • Neurology Physician
  • Oklahoma City, OK
National Provider Identifier
1174903405
Registry record updated Jun 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
19624 Issued in OK
Legal business name
MARK ANDREW FISHER MD
Practice address
12000 Blue Sage Rd
Oklahoma City, OK 73120-5925
Phone
(405) 601-6181
NPI assigned
Jun 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2015

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

Authorized official

Name
Mark Fisher, M.D.
Title
Physician/Owner
Phone
(405) 550-4403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 19624 OK Primary

Addresses

Primary practice location

12000 Blue Sage Rd
Oklahoma City, OK 73120-5925

Mailing address

12000 Blue Sage Rd
Oklahoma City, OK 73120-5925
Phone (405) 601-6181

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433203200000",
    "number": "1174903405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 BLUE SAGE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205925",
            "telephone_number": "405-601-6181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 BLUE SAGE RD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205925",
            "telephone_number": "405-601-6181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK ANDREW FISHER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-02",
        "last_updated": "2015-06-02",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-550-4403",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "19624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.