Individual provider Active NPI

Michael Lynn Fisher, D.O.

  • Orthopaedic Surgery Physician
  • Chardon, OH
National Provider Identifier
1295150209
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
000000 Issued in OH
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

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0408845MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707000570 OH Practitioner - Orthopedic Surgery 7012212392

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: michael.fisher.p1@direct.beaconortho.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.