Individual provider Active NPI

Garland M Fisher, D.C.

  • Chiropractor
  • Douglassville, PA
National Provider Identifier
1205863776
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC001264-L Issued in PA
Practice address
1311 Ben Franklin Hwy
Douglassville, PA 19518
Phone
(610) 385-6019
Fax
(610) 385-7130
NPI assigned
Jun 28, 2006
Last updated
May 13, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC001264-L PA Primary
Chiropractor 111N00000X FI-0000216 DE

Addresses

Primary practice location

1311 Ben Franklin Hwy
Douglassville, PA 19518

Mailing address

1311 Ben Franklin Hwy
Douglassville, PA 19518
Phone (610) 385-6019

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

State licenses

LicenseStateTypeSpecialty
FI-0000216DEMDChiropractor
DC001264-LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1205863776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 BEN FRANKLIN HWY",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "19518",
            "telephone_number": "610-385-6019",
            "fax_number": "610-385-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 BEN FRANKLIN HWY",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "19518",
            "telephone_number": "610-385-6019",
            "fax_number": "610-385-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "GARLAND",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC001264-L",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "FI-0000216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglassville, PA

Sources for this page

Verify at the official NPI Registry.