Active NPI
Jonathan Fisher, M.D.
- Emergency Medicine Physician
- Boston, MA
National Provider Identifier
1437199973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 160655
- Practice address
- One Deaconess Rd
Bidmc- Department of Emergency Medicine, WCC2
Boston, MA 02215 - Phone
- (617) 754-2323
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 160655 | MA | Primary |
Addresses
Primary practice location
One Deaconess Rd
Bidmc- Department of Emergency Medicine, WCC2
Boston, MA 02215
Mailing address
One Deaconess Rd
Bidmc- Department of Emergency Medicine
Boston, MA 02215
Phone (617) 754-2323
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50149 | Other | AZ | ARIZONA MEDICAL BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160655 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Emergency Medicine | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Emergency Medicine | Past | Accepting new patients |
| Einstein Practice Plan Inc | Past | Accepting new patients |
Locations
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Phoenix, AZ
- NPI 1083947196
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
- Certified Registered Nurse Anesthetist
- Philadelphia, PA
- NPI 1457047433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492387200000",
"number": "1437199973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE DEACONESS RD",
"address_2": "BIDMC- DEPARTMENT OF EMERGENCY MEDICINE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-754-2323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE DEACONESS RD",
"address_2": "BIDMC- DEPARTMENT OF EMERGENCY MEDICINE, WCC2",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "617-754-2323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "JONATHAN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2017-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "160655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARIZONA MEDICAL BOARD",
"identifier": "50149",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.