Active NPI
Michael Lynn Fisher, D.O.
- Orthopaedic Surgery Physician
- Chardon, OH
National Provider Identifier
1295150209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 000000
- Practice address
- 150 7TH Ave Ste 200
Chardon, OH 44024-2909 - Phone
- (440) 285-4999
- Fax
- (440) 285-5870
- NPI assigned
- Feb 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 000000 | OH | Primary |
Addresses
Primary practice location
150 7TH Ave Ste 200
Chardon, OH 44024-2909
Mailing address
6480 Harrison Ave Ste 201
Cincinnati, OH 45247-7961
Phone (513) 713-1779
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0408845 | Medicaid | OH |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michael.fisher@uhps.allscriptsdirect.net | ||
| Direct Messaging Address | michael.fisher@uhps.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707000570 | OH | Practitioner - Orthopedic Surgery | 7012212392 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000000 | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Metrohealth System | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| University Hospitals Medical Group Inc | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- michael.fisher.p1@direct.beaconortho.nextgenshare.com
- mfisher137640@direct.metrohealth.org
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1700828852
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698883200000",
"number": "1295150209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6480 HARRISON AVE STE 201",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452477961",
"telephone_number": "513-713-1779",
"fax_number": "513-854-9921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 7TH AVE STE 200",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242909",
"telephone_number": "440-285-4999",
"fax_number": "440-285-5870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "MICHAEL",
"middle_name": "LYNN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-27",
"last_updated": "2023-11-02",
"certification_date": "2023-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "000000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0408845",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.fisher@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1941 S Baney Rd Ste 300",
"city": "Ashland",
"state": "OH",
"country_code": "US",
"postal_code": "448054502",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michael.fisher@uhps.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1941 S Baney Rd Ste 300",
"city": "Ashland",
"state": "OH",
"country_code": "US",
"postal_code": "448054502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.