M Fisher PC

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

CHIA-1292 Issued in ID

Legal business name

M FISHER PC

Practice address

2300 S Orchard St
Ste a
Boise, ID 83705-6722

Phone

(208) 383-3703

NPI assigned

Aug 13, 2015

Last updated

Aug 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Ann Fisher-Rothery, DC

Title

Owner

Phone

(208) 629-9351

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439424000000",
    "number": "1396111357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S ORCHARD ST",
            "address_2": "STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S ORCHARD ST",
            "address_2": "STE A",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837056722",
            "telephone_number": "208-383-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M FISHER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2015-08-13",
        "status": "A",
        "authorized_official_last_name": "FISHER-ROTHERY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-629-9351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "ID",
            "license": "CHIA-1292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Boise, ID
• Providers in Boise, ID by specialty
• Exclusive Provider Organization in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.