Active NPI
Laurie Fisher, M.D.
- Family Medicine Physician
- Fort Smith, AR
National Provider Identifier
1477523215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C5831
- Practice address
- 4900 Kelley Hwy
Fort Smith, AR 72904-5000 - Phone
- (479) 785-5700
- Fax
- (479) 785-5708
- NPI assigned
- Jan 24, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5831 | AR | Primary |
Addresses
Primary practice location
4900 Kelley Hwy
Fort Smith, AR 72904-5000
Mailing address
PO Box 130
Ratcliff, AR 72951-0130
Phone (479) 635-5300
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11759000000 | Other | AR | QUALCHOICE |
| 0062731 | Other | AR | UMWA H&R FUNDS |
| 1354042 | Other | AR | UNITED HEALTHCARE |
| 0790780001 | Other | AR | PALMETTO GBA |
| 020407900 | Other | AR | BLACK LUNG PROGRAM |
| 7294114 | Other | AR | AETNA |
| 080057403 | Other | AR | RAILROAD MEDICARE/PALMETT |
| 103108001 | Medicaid | AR | |
| 54965 | Other | AR | BLUECROSSBLUESHIELD ARK |
| XX12984 | Other | AR | HEALTH PLUS OF MICHIGAN |
| 341149 | Other | AR | HEALTH LINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091205000021 | AR | Practitioner - Family Practice | 0648351098 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C5831 | AR | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410739200000",
"number": "1477523215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "RATCLIFF",
"state": "AR",
"postal_code": "729510130",
"telephone_number": "479-635-5300",
"fax_number": "479-635-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 KELLEY HWY",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729045000",
"telephone_number": "479-785-5700",
"fax_number": "479-785-5708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "LAURIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-24",
"last_updated": "2014-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C5831",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QUALCHOICE",
"identifier": "11759000000",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA H&R FUNDS",
"identifier": "0062731",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1354042",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "0790780001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG PROGRAM",
"identifier": "020407900",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7294114",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE/PALMETT",
"identifier": "080057403",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103108001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSSBLUESHIELD ARK",
"identifier": "54965",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLUS OF MICHIGAN",
"identifier": "XX12984",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH LINK",
"identifier": "341149",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.