Christian Thor Fisher, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

050984 Issued in IA

Practice address

1000 Lincoln Circle SE
Orange City, IA 51041

Phone

(712) 737-4984

Fax

(712) 737-5291

NPI assigned

Apr 21, 2006

Last updated

Apr 14, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anesthesia Consultants PCGroup PAC ID 6103716626, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Lukes Regional Medical Center Hospital, Sioux City, IA, CCN 160146

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anesthesia Consultants PC

  • Anesthesiology Physician
  • Sioux City, IA
  • NPI 1497854574

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Sioux Valley Memorial Hospital Association

  dba Cherokee Regional Clinic - Aurelia

  • Family Medicine Physician
  • Aurelia, IA
  • NPI 1083610190
  NPD
• Sioux Valley Memorial Hospital Association

  dba Cherokee Regional Medical Center - CRNA

  • Certified Registered Nurse Anesthetist
  • Cherokee, IA
  • NPI 1275500704

  Nurse Anesthetist, Certified Registered

  NPD
• Heartland Anesthesiologist

  • Anesthesiology Physician
  • Council Bluffs, IA
  • NPI 1295831378
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northwest Iowa Hospital Corporation

  dba St Lukes Regional Medical Center

  • General Acute Care Hospital
  • Sioux City, IA
  • NPI 1962594622
  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1346206158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIRCLE SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "51041",
            "telephone_number": "712-737-4984",
            "fax_number": "712-737-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LINCOLN CIRCLE SE",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "51041",
            "telephone_number": "712-737-4984",
            "fax_number": "712-737-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "CHRISTIAN",
        "middle_name": "THOR",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "050984",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "5200771",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "093447",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210898",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "I7534002",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Ellens
• Kourtney Engel
• Family Solutions Services 1, Inc.
• Family Solutions Services, Inc.
• Brady Fergen
• Lauren Nell Fisk
• Anna Noelle Fitzgerald
• Daniel Foreman
• Lynne Gail Frease McMahan, M.S., LMHC
• Megan Fretham, DO

• Certified Registered Nurse Anesthetist in Orange City, IA
• Providers in Orange City, IA by specialty
• Certified Registered Nurse Anesthetist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (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.