Active NPI
Dennis Michael Fisher, M.D.
- Family Medicine Physician
- Wilkes Barre, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD053937L
- Practice address
- 175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040 - Phone
- (570) 829-2621
- Fax
- (570) 823-4332
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD053937L | PA | Primary |
Addresses
Primary practice location
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Mailing address
100 N Academy Ave
Danville, PA 17822-3034
Phone (570) 271-6144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001093739 | Medicaid | PA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dfisher44551@direct.geisinger.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Pennsylvania State University College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Phoenix Rehabilitation and Health Services Inc
Practice addresses (Care Compare)
114 LT Michael Cleary Dr
Dallas, PA 18612-1649
Phone (570) 255-1178
12 Kirby Ave
Mountain Top, PA 18707-1215
Phone (570) 474-5978
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702-5040
Phone (570) 829-2621
2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238
35 S Mountain Blvd
Mountain Top, PA 18707-1122
Phone (570) 474-5847
499 Wyoming Ave
Kingston, PA 18704-3602
Phone (570) 283-2161
560 Pierce St
Kingston, PA 18704-5716
Phone (570) 714-5810
Hospital & facility affiliations
- Bayada Home Health Care, Inc.
- Homebound Health Services Inc
- Superior Health Services Inc
- Geisinger Home Health
- Traditional Home Health Care
- Geisinger Wyoming Valley Medical Center
- Geisinger Medical Center
- Geisinger-Community Medical Center
- Wilkes-Barre General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD053937L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geisinger Clinic | Current | Accepting new patients | |
| Caring Community Health Center | Current | Accepting new patients | |
| Caring Community Health Center | Current | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Caring Community Health Center | Current | Accepting new patients | |
| Geisinger Clinic | Family Medicine | Current | Accepting new patients |
| Geisinger Clinic | Past | Accepting new patients |
Locations
42 N Scott St
Carbondale, PA 18407
Phone (570) 282-6660
114 Lt Michael Cleary Dr
Dallas, PA 18612
Phone (570) 255-1178
100 N Academy Ave
Danville, PA 17822
426 Airport Rd
Ste 125
Hazle Township, PA 18202
Phone (570) 829-2621
499 Wyoming Ave
Kingston, PA 18704
Phone (570) 283-2161
955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714
56 Jam House Rd
Mifflin, PA 17058
Phone (717) 436-8986
12 Kirby Ave
Mountain Top, PA 18707
Phone (570) 474-5978
175 S Wilkes Barre Blvd
Wilkes Barre, PA 18702
Phone (570) 821-0808
1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300
Interoperability endpoints
- dfisher44551@direct.geisinger.edu
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Wilkes Barre, PA
- NPI 1679038293
-
- Family Medicine Physician
- Danville, PA
- NPI 1366493868
-
- Federally Qualified Health Center (FQHC)
- Scranton, PA
- NPI 1891547964
-
- Federally Qualified Health Center (FQHC)
- Hazle Township, PA
- NPI 1902459407
-
- Family Medicine Physician
- Moosic, PA
- NPI 1427465848
-
- Diagnostic Radiology Physician
- Danville, PA
- NPI 1558313023
-
- Hospitalist Physician
- Wilkes Barre, PA
- NPI 1588614358
Hospital & facility affiliations 64
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- East Stroudsburg, PA
- NPI 1083859516
-
- Home Health Agency
- Wilkes Barre, PA
- NPI 1619901527
-
- Endocrinology, Diabetes & Metabolism Physician
- Scranton, PA
- NPI 1306439856
Hospital
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1366444507
-
- General Acute Care Hospital
- Scranton, PA
- NPI 1972652063
-
- General Acute Care Hospital
- Danville, PA
- NPI 1013384809
-
- General Acute Care Hospital
- Coal Township, PA
- NPI 1033491741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1285601245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N ACADEMY AVE",
"city": "DANVILLE",
"state": "PA",
"postal_code": "178223034",
"telephone_number": "570-271-6144",
"fax_number": "570-271-6578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S WILKES BARRE BLVD",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187025040",
"telephone_number": "570-829-2621",
"fax_number": "570-823-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DENNIS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD053937L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001093739",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dfisher44551@direct.geisinger.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "175 S Wilkes Barre Blvd",
"city": "Wilkes Barre",
"state": "PA",
"country_code": "US",
"postal_code": "187025040",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.