NPIMap

Organization Active NPI

Desert Surgical Associates Fisher PLLC

  • Surgery Physician
  • Las Vegas, NV
National Provider Identifier
1487982534
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DESERT SURGICAL ASSOCIATES FISHER PLLC
Practice address
3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone
(702) 369-7152
Fax
(702) 369-7153
NPI assigned
Dec 1, 2009
Organization subpart
Yes
Parent organization
DESERT SURGICAL ASSOCIATES FISHER PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
Christopher J. Fisher, M.D.NPI 1255300406
Title
Authorized Official/Partner
Phone
(702) 369-7152

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary
Trauma Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0127X

Addresses

Primary practice location

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579

Mailing address

3131 La Canada St Ste 217
Las Vegas, NV 89169-2579
Phone (702) 369-7152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100504000643 NV Part B Supplier - Clinic/Group Practice 3375671803 Receives reassigned benefits from 7 practitioners
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory
Part of
Desert Surgical Associates Fisher PLLC

Locations

3196 S Maryland Pkwy
Ste 101A
Las Vegas, NV 89109
Phone (702) 369-7152

3131 La Canada St
Ste 217
Las Vegas, NV 89169
Phone (702) 369-7152

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1487982534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-369-7152",
            "fax_number": "702-369-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 LA CANADA ST STE 217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891692579",
            "telephone_number": "702-369-7152",
            "fax_number": "702-369-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT SURGICAL ASSOCIATES FISHER PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT SURGICAL ASSOCIATES FISHER PLLC",
        "enumeration_date": "2009-12-01",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL/PARTNER",
        "authorized_official_telephone_number": "702-369-7152",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.