Joshua Fisher, MD, MPH, MSC
Individual provider Active NPI Family Medicine Physician · Roseburg, OR
NPI 1508446170 · NPPES record last updated Jul 30, 2024
Key facts
- NPI
- 1508446170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD213878 (OR)
- Practice address
- 150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042 - Phone
- (541) 672-9596
- NPI assigned
- Apr 8, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 4
Owned or controlled facilities with NPI records 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Galen Inpatient Physicians PC
CRM Physicians LLC
Practice addresses (Care Compare)
1813 W Harvard Ave
Suite 241
Roseburg, OR 97471-8708
Phone (541) 671-5342
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611
650 SE Oak St
Hillsboro, OR 97123-4120
Phone (503) 648-8588
Hospital & facility affiliations
- Amedisys Home Health Care
- Mercy Medical Center
- Rose Haven Nursing Center
- Umpqua Valley Nursing & Rehabilitation Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Rose Haven Nursing Center |
Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Jan 1, 2025 Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230511002769 | OR | Practitioner - Family Practice | 5890196455 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD213878 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current |
Accepting new patients | |
| CRM Physicians, LLC | Family Medicine | Current |
Accepting new patients |
| Joshua Fisher MD MPH MSC PC | Family Medicine | Current |
Accepting new patients |
| Umpqua Health Newton Creek, LLC | Current |
Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Commonspirit Oregon | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588
1813 W Harvard Ave
Ste 241
Roseburg, OR 97471
Phone (541) 229-7038
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
150 NE Kenneth Ford Dr
Roseburg, OR 97470
3031 NE Stephens St
Roseburg, OR 97470
Phone (541) 229-7038
Interoperability endpoints
- joshua.fisher.1@31903.direct.athenahealth.com
- https://fhir4.healow.com/fhir/r4/JCEJBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | MD213878 | OR | |
| Family Medicine Physician | 207Q00000X | MD213878 | OR | Yes |
Addresses
Primary practice location
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Mailing address
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone (541) 672-9596
Other practice location 1
913 NW Garden Valley Blvd
Roseburg, OR 97471-6523
Phone (541) 440-1000
Other practice location 2
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611
Other names
- Joshua Tonneslan
Other providers in Roseburg, OR
- David Tait Finlay
- Steven C Finlayson
- John R Finney
- First Choice Physical Therapy, PC
- Fisher Care, Inc.
- Paige Leigh Fisher
- Kristine Lynn Fitts
- William Paul Flinn
- Samantha Flora
- Maria Paola Flores Morelos
All providers in Roseburg, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.