Individual provider Active NPI

Joshua Fisher, MD, MPH, MSC

  • Family Medicine Physician
  • Roseburg, OR
National Provider Identifier
1508446170
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD213878 Issued in OR
Practice address
150 NE Kenneth Ford Dr
Roseburg, OR 97470-1042
Phone
(541) 672-9596
NPI assigned
Apr 8, 2021
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD213878 OR
Family Medicine Physician 207Q00000X MD213878 OR Primary

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

2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 673-0611

Other practice location 2

913 NW Garden Valley Blvd
Roseburg, OR 97471-6523
Phone (541) 440-1000

Other names 1

  • Joshua Tonneslan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230511002769 OR Practitioner - Family Practice 5890196455 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD213878ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Galen Inpatient Physicians PC CurrentSince Jun 27, 2024 Accepting new patients
Umpqua Health Newton Creek, LLC CurrentSince May 1, 2023 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Jun 27, 2024 Accepting new patients
Joshua Fisher MD MPH MSC PC Family Medicine CurrentSince Sep 10, 2024 Accepting new patients
CRM Physicians, LLC Family Medicine CurrentSince Jun 10, 2024 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) 900-3125

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
Phone (503) 351-3505

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

150 NE Kenneth Ford Dr
Roseburg, OR 97470

1813 W Harvard Ave
Ste 241
Roseburg, OR 97471
Phone (541) 229-7038

2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611

3031 NE Stephens St
Roseburg, OR 97470
Phone (541) 229-7038

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JCEJBD
  • Direct secure messaging: joshua.fisher.1@31903.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rose Haven Nursing CenterRoseburg, OR, CCN 385151 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jan 1, 2025
Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1617840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1508446170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NE KENNETH FORD DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701042",
            "telephone_number": "541-672-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NE KENNETH FORD DR",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974701042",
            "telephone_number": "541-672-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 NW Stewart Pkwy",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974711281",
            "country_code": "US",
            "telephone_number": "541-673-0611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 NW Garden Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Roseburg",
            "state": "OR",
            "postal_code": "974716523",
            "country_code": "US",
            "telephone_number": "541-440-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOSHUA",
        "credential": "MD, MPH, MSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-08",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OR",
            "license": "MD213878",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD213878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSHUA",
            "last_name": "TONNESLAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.