Individual provider Active NPI

Whitney Charles Fisher

  • Emergency Medicine Physician
  • New London, CT
National Provider Identifier
1508088659
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
CT050321 Issued in CT
Practice address
365 Montauk Ave Dept
New London, CT 06320-4700
Phone
(860) 442-0711
NPI assigned
May 2, 2007
Last updated
Mar 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 234863-1 NY
Emergency Medicine Physician 207P00000X MD13293 RI
Emergency Medicine Physician 207P00000X CT050321 CT Primary

Addresses

Primary practice location

365 Montauk Ave Dept
New London, CT 06320-4700

Mailing address

190 Palmer Neck Rd
Pawcatuck, CT 06379-2300
Phone (917) 756-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, RI, TX, CT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20080522000712 NY Practitioner - Emergency Medicine 1355410887 Reassigns benefits to 1 organization
I20100918000027 RI Practitioner - Emergency Medicine 1355410887 Reassigns benefits to 2 organizations
I20221010000125 TX Practitioner - Emergency Medicine 1355410887 Reassigns benefits to 1 organization
I20231128000553 CT Practitioner - Emergency Medicine 1355410887 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Georgetown University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

365 Montauk Ave
New London, CT 06320-4700
Phone (860) 442-0711

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CT050321CTMDEmergency Medicine Physician
234863-1NYMDEmergency Medicine Physician
MD13293RIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence and Memorial Hospital, Inc. Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
Lawrence and Memorial Hospital, Inc. CurrentSince May 1, 2024 Accepting new patients
Pathology Consultants of New London, P.C. Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Fpa Hospital Based Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
LMW Healthcare Inc. Emergency Medicine CurrentSince May 1, 2024 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Oct 1, 2022 Accepting new patients
Lifespan Physician Group, Inc. Emergency Medicine CurrentSince Dec 1, 2020 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Bridgeport Hospital CurrentSince Oct 8, 2023 Accepting new patients
LMW Healthcare Inc. CurrentSince May 1, 2024 Accepting new patients
Fpa Hospital Based CurrentSince Aug 1, 2014 Accepting new patients
Bridgeport Hospital CurrentSince Oct 8, 2023 Accepting new patients
Metro Emergency Medical Association PLLC Emergency Medicine Past Accepting new patients
St Lukes Roosevelt Hospital Center Emergency Medicine Past Accepting new patients
St. Vincent's Emergency Services PC Emergency Medicine Past Accepting new patients
Our Lady of Mercy Medical Center Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Washington County, LLC Emergency Medicine Past Accepting new patients
Slrhc Faculty Practice Emergency Medicine Past Accepting new patients

Locations

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

365 Montauk Ave
New London, CT 06320
Phone (860) 271-4364

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

1176 5th Ave
New York, NY 10029
Phone (212) 241-6237

11 Friendship St
Newport, RI 02840
Phone (401) 845-1110

185A High Service Ave
North Providence, RI 02904
Phone (401) 354-6050

593 Eddy St
Providence, RI 02903

593 Eddy St
#2
Providence, RI 02903
Phone (401) 519-1604

25 Wells St
Westerly, RI 02891
Phone (401) 348-3325

Interoperability endpoints

  • Direct secure messaging: wfisher627801@direct.ynhh.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1508088659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 PALMER NECK RD",
            "city": "PAWCATUCK",
            "state": "CT",
            "postal_code": "063792300",
            "telephone_number": "917-756-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 MONTAUK AVE DEPT",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204700",
            "telephone_number": "860-442-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "WHITNEY",
        "middle_name": "CHARLES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "234863-1",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "RI",
            "license": "MD13293",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CT",
            "license": "CT050321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

Verify at the official NPI Registry.