Active NPI
Carlotto Anzette Fisher, M.D.
- Obstetrics & Gynecology Physician
- Pendleton, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD202026
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500785463 | Medicaid | OR |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD202026 | OR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonspirit Oregon | Current | Accepting new patients | |
| Silverton Health | Current | Accepting new patients | |
| Commonspirit Oregon | Current | Accepting new patients | |
| Silverton Health | Obstetrics & Gynecology | Current | Accepting new patients |
| Silverton Health | Current | Accepting new patients | |
| Commonspirit Oregon | Current | 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.
-
dba St Anthony Hospital
- Orthopaedic Surgery Physician
- Pendleton, OR
- NPI 1134368798
-
dba St. Anthony Hospital Profee
- Multi-Specialty Clinic/Center
- Pendleton, OR
- NPI 1831169903
-
dba Legacy Silverton Medical Center
- General Acute Care Hospital
- Silverton, OR
- NPI 1669424354
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; 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.