Organization Active NPI

David Charles Fisher MD LLC

  • Family Medicine Physician
  • Elgin, SC
National Provider Identifier
1326531682
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD17710 Issued in SC
Legal business name
DAVID CHARLES FISHER MD LLC
Practice address
566 Spears Creek Church Rd Ste 102B
Elgin, SC 29045-8128
Phone
(803) 995-5555
Fax
(803) 828-3795
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
David Charles Fisher, MD
Title
Owner / Physician
Phone
(803) 995-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD17710 SC Primary

Addresses

Primary practice location

566 Spears Creek Church Rd Ste 102B
Elgin, SC 29045-8128

Mailing address

566 Spears Creek Church Rd Ste 102B
Elgin, SC 29045-8128
Phone (803) 995-5555

National Provider Directory

National Provider Directory

Locations

566 Spears Creek Church Rd
Ste 102B
Elgin, SC 29045
Phone (803) 995-5555

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1326531682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 SPEARS CREEK CHURCH RD STE 102B",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458128",
            "telephone_number": "803-995-5555",
            "fax_number": "803-828-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 SPEARS CREEK CHURCH RD STE 102B",
            "city": "ELGIN",
            "state": "SC",
            "postal_code": "290458128",
            "telephone_number": "803-995-5555",
            "fax_number": "803-828-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID CHARLES FISHER MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "803-995-5555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "MD17710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.