Individual provider Active NPI

Daniel William Fisher, D.O.

  • Emergency Medicine Physician
  • Charleston, SC
National Provider Identifier
1457670358
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO36611 Issued in SC
Practice address
9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone
(843) 797-7000
NPI assigned
May 18, 2010
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 94355 GA
Emergency Medicine Physician 207P00000X 34.010353 OH
Emergency Medicine Physician 207P00000X V5673 TX
Emergency Medicine Physician 207P00000X 0102208956 VA
Emergency Medicine Physician 207P00000X DO36611 SC Primary

Addresses

Primary practice location

9330 Medical Plaza Dr
Charleston, SC 29406-9104

Mailing address

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 797-7000

Other practice location 1

2011 Commerce Dr N
Peachtree City, GA 30269-3538
Phone (844) 994-6633

Other practice location 2

1671 Belle Isle Ave Ste 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, GA, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141010002426 SC Practitioner - Emergency Medicine 8820252851 Reassigns benefits to 3 organizations
I20230414000238 GA Practitioner - Emergency Medicine 8820252851 Reassigns benefits to 1 organization
I20250616000612 FL Practitioner - Emergency Medicine 8820252851 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Telescope Health Medical Group, P.a.Group PAC ID 0143725598, 19 clinicians
Physicians Group Services PAGroup PAC ID 1254238579, 91 clinicians
Gomed Charleston LLCGroup PAC ID 6608114251, 8 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32207
Phone (904) 373-5304

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221-8064
Phone (904) 379-7155

1671 Belle Isle Ave
Suite 110J
Mount Pleasant, SC 29464-8336
Phone (844) 994-6633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO36611SCMDEmergency Medicine Physician
V5673TXMDEmergency Medicine Physician
0102208956VAMDEmergency Medicine Physician
36611SCMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Associates of the Medical University of South Carol CurrentSince Feb 11, 2015 Accepting new patients
Gomed, LLC CurrentSince Feb 1, 2023 Accepting new patients
Telescope Health Medical Group, P.a. Emergency Medicine CurrentSince Aug 24, 2025 Accepting new patients
Physicians Group Services PA CurrentSince Sep 1, 2025 Accepting new patients
Gomed Charleston LLC CurrentSince Dec 11, 2018 Accepting new patients
Physicians Group Services PA CurrentSince Sep 1, 2025 Accepting new patients
Telescope Health LLC Emergency Medicine CurrentSince Jun 4, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Physicians Group Services PA Current Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Feb 11, 2015 Accepting new patients
DRH Medical Group Past Accepting new patients

Locations

10250 Normandy Blvd
Unit 802
Jacksonville, FL 32221
Phone (904) 379-7155

14810 Old St Augustine Rd
Ste 208
Jacksonville, FL 32258
Phone (904) 260-4111

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

5445 Norwood Ave
Jacksonville, FL 32208
Phone (904) 765-7075

7855 Argyle Forest Blvd
Ste 601
Jacksonville, FL 32244
Phone (904) 570-9404

841 Prudential Dr
Unit 1410
Jacksonville, FL 32207
Phone (904) 373-5304

14011 Beach Blvd
Ste 120
Jacksonville Beach, FL 32250
Phone (904) 223-6400

3839 County Road 218
Middleburg, FL 32068
Phone (904) 282-5474

1555 Kingsley Ave
Ste 601
Orange Park, FL 32073
Phone (904) 264-0264

1689 Eagle Harbor Pkwy
Ste A
Orange Park, FL 32003
Phone (904) 269-1366

421 Kingsley Ave
Ste 300
Orange Park, FL 32073
Phone (904) 621-0643

2011 Commerce Dr N
Peachtree City, GA 30269
Phone (844) 994-6633

2011 Commerce Dr N
Ste 25
Peachtree Cty, GA 30269
Phone (844) 994-6633

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

1671 Belle Isle Ave
Ste 110J
Mt Pleasant, SC 29464
Phone (844) 994-6633

809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

295 Midland Pkwy
Summerville, SC 29485
Phone (843) 554-6366

Interoperability endpoints

  • Direct secure messaging: daniel.fisher.1@22872.direct.athenahealth.com
  • Direct secure messaging: daniel.fisher.1@24008.direct.athenahealth.com
  • Direct secure messaging: daniel.fisher.1@25110.direct.athenahealth.com
  • Direct secure messaging: daniel.fisher@166622370791428.direct.elationemr.com
  • FHIR API: https://api.platform.athenahealth.com/22872/brand/2/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1457670358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-797-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9330 MEDICAL PLAZA DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294069104",
            "telephone_number": "843-797-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 Commerce Dr N",
            "address_purpose": "LOCATION",
            "city": "Peachtree City",
            "state": "GA",
            "postal_code": "302693538",
            "country_code": "US",
            "telephone_number": "844-994-6633",
            "fax_number": "470-235-1861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1671 Belle Isle Ave Ste 110J",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294648336",
            "country_code": "US",
            "telephone_number": "844-994-6636",
            "fax_number": "470-300-7913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "DANIEL",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-18",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "94355",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010353",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "V5673",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0102208956",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "DO36611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.