Alex Raymond Fisher

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

Joint Base Elmendorf-Richardson Hospital
5955 Zeamer Ave
Elmendorf Afb, AK 99506

Phone

(907) 580-2181

NPI assigned

Mar 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1467993477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JOINT BASE ELMENDORF-RICHARDSON HOSPITAL",
            "address_2": "5955 ZEAMER AVE",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JOINT BASE ELMENDORF-RICHARDSON HOSPITAL",
            "address_2": "5955 ZEAMER AVE",
            "city": "ELMENDORF AFB",
            "state": "AK",
            "postal_code": "99506",
            "telephone_number": "907-580-2181"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Wilford Hall Ambulatory Surgical Center",
            "address_2": "1100 Wilford hall Loop, Bldg. 4554, 59 MDW/GME",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-292-5972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ALEX",
        "middle_name": "RAYMOND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-10",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam H Dalgleish, CRNA
• Jodi L Danter, PHYSICIAN ASSISTANT
• Betsy Lynne Demay, WHNP
• Herman Roy Ellemberger, M.D.
• Spring Ruth Ellemberger, M.D.
• Nathaniel Arthur Foster, OD
• Paul Andrew Friedrichs, MD
• Jane M Garrow, LCSW
• Monique Celine Gassek, ATC
• Angela M Hallock

• Psychologist in Elmendorf Afb, AK
• Providers in Elmendorf Afb, AK by specialty
• Psychologist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.