Fred Harry Fisher, CSA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238.000008 Issued in IL

Practice address

29W505 Cerny Cir
Warrenville, IL 60555-2516

Phone

(630) 922-9881

Fax

(630) 393-3732

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fred Fisher

  • Surgical Physician Assistant
  • Warrenville, IL
  • NPI 1396879581
  NPD (past) Authorized official

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1528038718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5944",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605675944",
            "telephone_number": "630-393-3731",
            "fax_number": "630-393-3732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29W505 CERNY CIR",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552516",
            "telephone_number": "630-922-9881",
            "fax_number": "630-393-3732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "FRED",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238.000008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "238.000008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynn A Fesenmyer, M.D.
• Wendy M Filskov, PT
• Sarah Elizabeth Fine, LCSW
• David Jay Fish, MSW
• Ryann Christine Fishel, M.S., CF - SLP
• Jacqueline Flood, LMT
• May Kristine Santos Flores, PT
• Flying Pigs Thrive Therapy PLLC
• FMH Wellness PLLC
• Focus Group Counseling Services, LLC

• Surgical Assistant in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.