Active NPI
David L Fisher, PA-C
- Physician Assistant
- Atoka, OK
National Provider Identifier
1518068501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 984
- Practice address
- 1556 S Virginia Ave
Atoka, OK 74525-3246 - Phone
- (580) 889-4746
- Fax
- (580) 889-4735
- NPI assigned
- Sep 25, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 984 | OK | Primary |
Addresses
Primary practice location
1556 S Virginia Ave
Atoka, OK 74525-3246
Mailing address
610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 371-2343
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 984 | OK | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1518068501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 E 24TH ST",
"city": "TISHOMINGO",
"state": "OK",
"postal_code": "734603245",
"telephone_number": "580-371-2343",
"fax_number": "580-371-2451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1556 S VIRGINIA AVE",
"city": "ATOKA",
"state": "OK",
"postal_code": "745253246",
"telephone_number": "580-889-4746",
"fax_number": "580-889-4735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "DAVID",
"middle_name": "L",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atoka, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.