Fisher Pediatrics LLC – Pediatrics Physician

Key facts

NPI: 1336990795
Entity type: Organization (NPI type 2)
Primary specialty: Pediatrics Physician 208000000X
Legal business name: FISHER PEDIATRICS LLC
Practice address: 4037 Arbor LN Ste D
New Palestine, IN 46163-9269
Phone: (317) 861-7125
Fax: (317) 861-7141
NPI assigned: Apr 1, 2024
Organization subpart: No

Authorized official

Name: Dr. William J Fisher, MD
Title: Owner
Phone: (317) 490-6494

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

William J Fisher, M.D. Pediatrics Physician · New Palestine, IN · NPI 1992728539

NPD PEDIATRICS
Caitlynn Worden Pediatric Nurse Practitioner · Greenwood, IN · NPI 1154006435

NPD (past)

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
15D2303278	Fisher Pediatrics 4037 South Arbor Lane, Suite D, New Palestine, IN 46163	Certificate of waiver	Apr 22, 2028

National Provider Directory

Interoperability endpoints

Direct secure messaging: fisherpediatrics@direct.practicefusion.com

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pediatrics Physician Group: 193400000X SINGLE SPECIALTY GROUP	208000000X			Yes

Addresses

Primary practice location

4037 Arbor LN Ste D
New Palestine, IN 46163-9269

Mailing address

9719 Trevia Dr
Indianapolis, IN 46236-7203
Phone (317) 490-6494

Other names

Fisher Pediatrics LLC Doing business as

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	fisherpediatrics@direct.practicefusion.com	Health Information Exchange (HIE)

Other providers in New Palestine, IN

All providers in New Palestine, IN · Pediatrics Physician in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.