Timothy M. Fisher, D.O., P.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO0000000851 Issued in TN

Legal business name

TIMOTHY M. FISHER, D.O., P.C.

Practice address

140 Vo Tech Dr
Suite 6
MC Minnville, TN 37110-1329

Phone

(931) 473-4441

Fax

(931) 473-5031

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Timothy Mark Fisher, D.O.NPI 1710920467

Title

Owner

Phone

(931) 473-4441

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Coffee Medical Group LLC

  • Rural Acute Care Hospital
  • Manchester, TN
  • NPI 1013969179

  Member Of

  NPD member

Locations

Practitioners 3

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

• Timothy Mark Fisher, D.O.

  • Adult Medicine Physician
  • MC Minnville, TN
  • NPI 1710920467
  Medicare reassignment NPD Authorized official
• Lacey L Jones, FNP

  • Family Nurse Practitioner
  • McMinnville, TN
  • NPI 1417236571
  NPD
• Joshua Kain Winfree, N.P.-C

  • Nurse Practitioner
  • Murfreesboro, TN
  • NPI 1477721066
  NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376677070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 VO TECH DR",
            "address_2": "SUITE 6",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101329",
            "telephone_number": "931-473-4441",
            "fax_number": "931-473-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 VO TECH DR",
            "address_2": "SUITE 6",
            "city": "MC MINNVILLE",
            "state": "TN",
            "postal_code": "371101329",
            "telephone_number": "931-473-4441",
            "fax_number": "931-473-5031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY M. FISHER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-473-4441",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO0000000851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3374306",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael T. Stewart, MD
• James Whitley Taylor, D.PH.
• Lea Taylor, PHARMD
• The Health Group of McMinnville, P.C.
• Theresa Buck'S Urgent Care Walk in Clinic
• Todd Noblin DDS PC
• Trina Wright
• Joe R. Troop Jr., M.D.
• Wal-Mart Stores East, LP
• Walgreen Co

• Family Medicine Physician in MC Minnville, TN
• Providers in MC Minnville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.