Organization Active NPI

Tyson D Fisher MD PLLC

Doing business as Cross Timbers Ear, Nose and Throat

  • Otolaryngology Physician
  • Oklahoma City, OK
National Provider Identifier
1386530194
Registry record updated Sep 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
TYSON D FISHER MD PLLC
Doing business as
Cross Timbers Ear, Nose and Throat
Practice address
100 NE 85TH St Ste C
Oklahoma City, OK 73114-3916
Phone
(405) 888-3893
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2025

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

Authorized official

Name
Tyson Dale Fisher, MDNPI 1023320108
Title
Owner
Phone
(405) 285-2744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

100 NE 85TH St Ste C
Oklahoma City, OK 73114-3916

Mailing address

100 NE 85TH St Ste C
Oklahoma City, OK 73114-3916
Phone (405) 888-3893

Other names 1

  • Cross Timbers Ear, Nose and Throat Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251023003693 OK Part B Supplier - Clinic/Group Practice 0143718817 Receives reassigned benefits from 1 practitioner
Practice locations: Lawton, OK; Weatherford, OK; Oklahoma City, OK; Edmond, OK; Chickasha, OK

National Provider Directory

National Provider Directory

Locations

5370 NW Cache Rd
Ste 4
Lawton, OK 73505
Phone (405) 888-3893

4400 Grant Blvd
Ste 104
Yukon, OK 73099
Phone (405) 733-8000

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758326400000",
    "number": "1386530194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NE 85TH ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731143916",
            "telephone_number": "405-888-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NE 85TH ST STE C",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731143916",
            "telephone_number": "405-888-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYSON D FISHER MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-09-20",
        "certification_date": "2025-09-20",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-285-2744",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cross Timbers Ear, Nose and Throat",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2025; 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.