Active NPI
Gary Jay Fischer, MD
- Diagnostic Radiology Physician
- Greensboro, NC
National Provider Identifier
1487645115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 19473
- Practice address
- 1317 N. Elm St.
Suite 1B
Greensboro, NC 27401-1023 - Phone
- (336) 274-9617
- Fax
- (336) 482-2177
- NPI assigned
- Nov 2, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 19473 | NC | Primary |
Addresses
Primary practice location
1317 N. Elm St.
Suite 1B
Greensboro, NC 27401-1023
Mailing address
1317 N. Elm Street
Suite 1B
Greensboro, NC 27401-1023
Phone (336) 274-9617
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1081 | Other | NC | PARTNERS |
| 300065907 | Other | NC | RAILROAD MEDICARE |
| 1487645115 | Other | VA | VIRGINIA MEDICAID |
| 1600269 | Other | NC | UNITED HEALTHCARE |
| 32090 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8932090 | Medicaid | NC | |
| 70509 | Other | NC | MEDCOST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19473 | NC | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346112000000",
"number": "1487645115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1317 N. ELM STREET",
"address_2": "SUITE 1B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011023",
"telephone_number": "336-274-9617",
"fax_number": "336-482-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1317 N. ELM ST.",
"address_2": "SUITE 1B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011023",
"telephone_number": "336-274-9617",
"fax_number": "336-482-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "GARY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-02",
"last_updated": "2012-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "19473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS",
"identifier": "1081",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "300065907",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA MEDICAID",
"identifier": "1487645115",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600269",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "32090",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8932090",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "70509",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.