Dennis Jeffrey Fisher, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8383 Issued in SC

Practice address

21 Gamecock Ave
Suite E
Charleston, SC 29407-3368

Phone

(843) 763-9664

Fax

(843) 763-2949

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1417997693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13955",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294223955",
            "telephone_number": "843-763-9664",
            "fax_number": "843-763-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GAMECOCK AVE",
            "address_2": "SUITE E",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073368",
            "telephone_number": "843-763-9664",
            "fax_number": "843-763-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DENNIS",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "8383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83830",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arica Fishback
• Alexander James Fisher, PA-C
• Andrew David Fisher, M.D.
• Courtney M Fisher, M.D.
• Daniel William Fisher, D.O.
• Gabrielle Fisher, MD
• Garland Montgomery Fisher, AGACNP
• Jason Roy Fisher, PT
• Justin M Fisher, D.C.
• Marc D Fisher, DC

• Family Medicine Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.