Individual provider Active NPI

Arthur James Fisher III, D.P.M.

  • Podiatrist
  • Eureka, CA
National Provider Identifier
1265547210
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E2216 Issued in CA
Practice address
817 Harris St
Eureka, CA 95503-4541
Phone
(707) 445-5493
Fax
(707) 445-3552
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E2216 CA Primary
Foot Surgery Podiatrist 213ES0131X E2216 CA

Addresses

Primary practice location

817 Harris St
Eureka, CA 95503-4541

Mailing address

817 Harris St
Eureka, CA 95503-4541
Phone (707) 443-9860

Other identifiers 2

IdentifierTypeStateIssuer
000E22160MedicaidCA
000E22161MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100624000736 CA Practitioner - Podiatry 6002947744 Practice locations: Crescent City, CA; Eureka, CA
O20100930072941 CA DME Supplier - Physician - PodiatryDME Supplier - Orthotic Personnel 9638299209 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

817 Harris St
Eureka, CA 95503-4541
Phone (707) 445-5493

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue62
Removal of skin lesions1-10
Removal of nail tissue724
Removal or shaving of skin growth303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2216CAMDFoot Surgery Podiatrist

Hospital & facility affiliations 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218672000000",
    "number": "1265547210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034541",
            "telephone_number": "707-443-9860",
            "fax_number": "707-443-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034541",
            "telephone_number": "707-445-5493",
            "fax_number": "707-445-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ARTHUR",
        "middle_name": "JAMES",
        "name_suffix": "III",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E2216",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E22160",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E22161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.