Active NPI
Deo Flaiz Fisher, M.D.
- Family Medicine Physician
- Hermiston, OR
National Provider Identifier
1356423503
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD11635
- Practice address
- 600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8602 - Phone
- (541) 567-6434
- Fax
- (541) 567-6019
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD11635 | OR | Primary |
Addresses
Primary practice location
600 NW 11TH St
Suite E-15
Hermiston, OR 97838-8602
Mailing address
1837 W Alleluia Ave
Hermiston, OR 97838-9312
Phone (541) 567-6870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049247 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207008000000",
"number": "1356423503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1837 W ALLELUIA AVE",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978389312",
"telephone_number": "541-567-6870",
"fax_number": "541-567-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 NW 11TH ST",
"address_2": "SUITE E-15",
"city": "HERMISTON",
"state": "OR",
"postal_code": "978388602",
"telephone_number": "541-567-6434",
"fax_number": "541-567-6019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DEO",
"middle_name": "FLAIZ",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2008-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD11635",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049247",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermiston, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.