Individual provider Active NPI

Carlotto Anzette Fisher, M.D.

  • Obstetrics & Gynecology Physician
  • Pendleton, OR
National Provider Identifier
1205157732
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD202026 Issued in OR
Practice address
2801 St Anthony Way
Pendleton, OR 97801-3800
Phone
(541) 276-5121
NPI assigned
Jun 18, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10230A WY
Obstetrics & Gynecology Physician 207V00000X MD202026 OR Primary

Addresses

Primary practice location

2801 St Anthony Way
Pendleton, OR 97801-3800

Mailing address

PO Box 3417
Portland, OR 97208-3417

Other practice location 1

406 Welch St
Silverton, OR 97381-1934
Phone (503) 364-3787

Other practice location 2

2301 House Ave
Suite 400
Cheyenne, WY 82001-3176
Phone (307) 634-5216

Other identifiers 1

IdentifierTypeStateIssuer
500785463MedicaidOR

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD202026ORMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonspirit Oregon CurrentSince Jul 30, 2023 Accepting new patients
Silverton Health CurrentSince Nov 1, 2020 Accepting new patients
Commonspirit Oregon Current Accepting new patients
Silverton Health Obstetrics & Gynecology CurrentSince Nov 1, 2020 Accepting new patients
Silverton Health Current Accepting new patients
Commonspirit Oregon CurrentSince Jul 30, 2023 Accepting new patients

Locations

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

406 Welch St
Silverton, OR 97381
Phone (503) 364-3787

347 Fairview St
Silverton, OR 97381
Phone (503) 873-5667

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Organizations & group practices 6

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1205157732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3417",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 ST ANTHONY WAY",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013800",
            "telephone_number": "541-276-5121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "406 Welch St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811934",
            "country_code": "US",
            "telephone_number": "503-364-3787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2301 House Ave",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013176",
            "country_code": "US",
            "telephone_number": "307-634-5216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CARLOTTO",
        "middle_name": "ANZETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-18",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WY",
            "license": "10230A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD202026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500785463",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.