Organization Active NPI

Philip J. Fischer, II, M.D.,P.C.

  • General Acute Care Hospital
  • Birmingham, AL
National Provider Identifier
1275733842
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
00021924 Issued in AL
Legal business name
PHILIP J. FISCHER, II, M.D.,P.C.
Practice address
800 Saint Vincents Dr
Suite 630 North Tower
Birmingham, AL 35205-1620
Phone
(205) 939-6888
NPI assigned
Jul 23, 2007
Last updated
Aug 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mrs. Teresa Keeton
Title
Office Manager
Phone
(205) 939-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 00021924 AL Primary

Addresses

Primary practice location

800 Saint Vincents Dr
Suite 630 North Tower
Birmingham, AL 35205-1620

Mailing address

800 Saint Vincents Dr
Suite 630 North Tower
Birmingham, AL 35205-1620
Phone (205) 939-6888

Other identifiers 2

IdentifierTypeStateIssuer
7727323OtherALAETNA
51526308OtherALBLUE CROSS BLUE SHIELD OF

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000151 AL Part B Supplier - Clinic/Group Practice 1759335565 Receives reassigned benefits from 1 practitioner
Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

800 Saint Vincents Dr
Ste 630
Birmingham, AL 35205
Phone (205) 558-3595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1275733842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR",
            "address_2": "SUITE 630 NORTH TOWER",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051620",
            "telephone_number": "205-939-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SAINT VINCENTS DR",
            "address_2": "SUITE 630 NORTH TOWER",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051620",
            "telephone_number": "205-939-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J. FISCHER, II, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-23",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-939-6888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AL",
            "license": "00021924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7727323",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "51526308",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.