Individual provider Active NPI

Carol Mariam Fischer, D.O.

  • Obstetrics & Gynecology Physician
  • Mount Clemens, MI
National Provider Identifier
1205888773
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101015319 Issued in MI
Practice address
1030 Harrington St
Suite 201
Mount Clemens, MI 48043-2967
Phone
(586) 493-3880
Fax
(586) 493-3883
NPI assigned
May 16, 2006
Last updated
Jul 17, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101015319 MI Primary

Addresses

Primary practice location

1030 Harrington St
Suite 201
Mount Clemens, MI 48043-2967

Mailing address

1030 Harrington St
Suite 201
Mount Clemens, MI 48043-2967
Phone (586) 493-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060712000160 MI Practitioner - Obstetrics/Gynecology 5092728170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Michigan State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren MacombGroup PAC ID 8921912791, 131 clinicians

Practice addresses (Care Compare)

1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (810) 493-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101015319MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jun 16, 2022 Accepting new patients
McLaren Medical Group CurrentSince Jun 16, 2022 Accepting new patients
McLaren Macomb Obstetrics & Gynecology CurrentSince Aug 8, 2018 Accepting new patients
Thomas E Zima DO PC Obstetrics & Gynecology Past Accepting new patients
McLaren Macomb Past Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

51086 Fairchild Rd
Ste A
Chesterfield, MI 48051
Phone (586) 725-4604

36561 Harper Ave
Clinton Twp, MI 48035
Phone (586) 791-0620

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

37400 Garfield Rd
Ste 200
Clinton Twp, MI 48036
Phone (586) 263-5220

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

44200 Garfield Rd
Ste 164
Clinton Twp, MI 48038
Phone (586) 412-5117

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

1030 Harrington St
Ste 201
Mount Clemens, MI 48043
Phone (586) 493-1588

Interoperability endpoints

  • Direct secure messaging: cfischer315856@direct.hfhs.org

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1205888773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 201",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3880",
            "fax_number": "586-493-3883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 HARRINGTON ST",
            "address_2": "SUITE 201",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432967",
            "telephone_number": "586-493-3880",
            "fax_number": "586-493-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "CAROL",
        "middle_name": "MARIAM",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101015319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.