Individual provider Active NPI

Marta Louise Fischer, D.O.

  • Family Medicine Physician
  • Crescent Springs, KY
National Provider Identifier
1275701195
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03067 Issued in KY
Practice address
747 Buttermilk Pike
Crescent Springs, KY 41017-1303
Phone
(859) 341-3114
Fax
(859) 578-2156
NPI assigned
Feb 13, 2008
Last updated
Mar 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 03067 KY Primary

Addresses

Primary practice location

747 Buttermilk Pike
Crescent Springs, KY 41017-1303

Mailing address

401 E 20TH St
Covington, KY 41014-1583
Phone (859) 655-7160

Other identifiers 1

IdentifierTypeStateIssuer
7100047200MedicaidKY

Other names 1

  • Marta Louise Greer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20221010003387 OK Practitioner - Family Practice 4688741010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03067KYMDFamily Medicine Physician
5973OKMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236902400000",
    "number": "1275701195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 20TH ST",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410141583",
            "telephone_number": "859-655-7160",
            "fax_number": "859-655-6742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 BUTTERMILK PIKE",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171303",
            "telephone_number": "859-341-3114",
            "fax_number": "859-578-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "MARTA",
        "middle_name": "LOUISE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "03067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100047200",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "GREER",
            "middle_name": "LOUISE",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crescent Springs, KY

Sources for this page

Verify at the official NPI Registry.