Active NPI
Suzanne D Fisher, MD
- Physical Medicine & Rehabilitation Physician
- Dallas, TX
National Provider Identifier
1306966635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- H4322
- Practice address
- 8200 Walnut Hill LN
Dallas, TX 75231-4426 - Phone
- (817) 455-9245
- Fax
- (817) 284-3425
- NPI assigned
- Mar 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | H4322 | TX | |
| Physical Medicine & Rehabilitation Physician | 208100000X | H4322 | TX | Primary |
Addresses
Primary practice location
8200 Walnut Hill LN
Dallas, TX 75231-4426
Mailing address
PO Box 101743
Fort Worth, TX 76185-1743
Phone (817) 455-9245
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4322 | TX | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients |
Locations
7501 Wallace Blvd
Amarillo, TX 79124
Phone (806) 351-1600
1395 George Dieter Dr
El Paso, TX 79936
Phone (915) 298-7225
10323 State Highway 151
San Antonio, TX 78251
Phone (210) 581-5306
101 James Coleman Dr
Victoria, TX 77904
Phone (346) 541-6421
Organizations & group practices 2
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": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394668800000",
"number": "1306966635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101743",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761851743",
"telephone_number": "817-455-9245",
"fax_number": "817-284-3425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 WALNUT HILL LN",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314426",
"telephone_number": "817-455-9245",
"fax_number": "817-284-3425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "SUZANNE",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2014-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "TX",
"license": "H4322",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "TX",
"license": "H4322",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.