Organization Active NPI

William Delbert Fisher D.O., Inc

  • Family Medicine Physician
  • Richmond, IN
National Provider Identifier
1366699431
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02000324A Issued in IN
Legal business name
WILLIAM DELBERT FISHER D.O., INC
Practice address
100 N 15TH St
Richmond, IN 47374-4355
Phone
(765) 966-7668
Fax
(765) 966-8452
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Mrs. Sarah Marie Gibbs
Title
Office Manager
Phone
(765) 966-7668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 02000324A IN Primary

Addresses

Primary practice location

100 N 15TH St
Richmond, IN 47374-4355

Mailing address

100 N 15TH St
Richmond, IN 47374-4355
Phone (765) 966-7668

Other identifiers 2

IdentifierTypeStateIssuer
100211510AMedicaidIN
000000143109OtherINANTHEM

National Provider Directory

National Provider Directory

Locations

100 N 15th St
Ste 102
Richmond, IN 47374
Phone (765) 966-7668

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1366699431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 15TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744355",
            "telephone_number": "765-966-7668",
            "fax_number": "765-966-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N 15TH ST",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473744355",
            "telephone_number": "765-966-7668",
            "fax_number": "765-966-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM DELBERT FISHER D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "765-966-7668",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02000324A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100211510A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000143109",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.