Organization Active NPI

Fisher Cardiology and Electrophysiology

  • Cardiovascular Disease Physician
  • Bedford, TX
National Provider Identifier
1396025102
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G9453 Issued in TX
Legal business name
FISHER CARDIOLOGY AND ELECTROPHYSIOLOGY
Practice address
1305 Airport Fwy
Suite 424
Bedford, TX 76021-6605
Phone
(817) 510-1060
Fax
(817) 510-9940
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Dr. Russell G Fisher, D.O.NPI 1740282268
Title
Owner
Phone
(817) 545-1355

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
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X G9453 TX Primary

Addresses

Primary practice location

1305 Airport Fwy
Suite 424
Bedford, TX 76021-6605

Mailing address

1305 Airport Fwy
Suite 424
Bedford, TX 76021-6605
Phone (817) 510-1060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000688 TX Part B Supplier - Clinic/Group Practice 1153597828 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2042682Fisher Cardiology and Electrophysiology, PA1305 Airport Freeway,, Bedford, TX 76021Certificate of waiverJun 17, 2028

National Provider Directory

National Provider Directory
Tax ID family
Fisher Cardiology and Electrophysio2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7341/brand/1/csg/1/fhir/r4

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": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1396025102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY",
            "address_2": "SUITE 424",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216605",
            "telephone_number": "817-510-1060",
            "fax_number": "817-510-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY",
            "address_2": "SUITE 424",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216605",
            "telephone_number": "817-510-1060",
            "fax_number": "817-510-9940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER CARDIOLOGY AND ELECTROPHYSIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-545-1355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G9453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.