Active NPI
Dennis C. Fischer, PA-C
- Physician Assistant
- West Monroe, LA
National Provider Identifier
1528046356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA722
- Practice address
- 503 McMillan Rd
West Monroe, LA 71291-5327 - Phone
- (318) 329-3475
- Fax
- (318) 329-3719
- NPI assigned
- Jan 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 722 | NV | |
| Physician Assistant | 363A00000X | PA722 | NV | Primary |
| Surgical Physician Assistant | 363AS0400X | PA767 | LA |
Addresses
Primary practice location
503 McMillan Rd
West Monroe, LA 71291-5327
Mailing address
407 Bunker LN
Monroe, LA 71203-8956
Phone (702) 810-7524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002402171 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 842 | NE | MD | Clinical Social Worker |
| PA722 | NV | MD | Physician Assistant |
| PA767 | LA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331510400000",
"number": "1528046356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 BUNKER LN",
"city": "MONROE",
"state": "LA",
"postal_code": "712038956",
"telephone_number": "702-810-7524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 MCMILLAN RD",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915327",
"telephone_number": "318-329-3475",
"fax_number": "318-329-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "DENNIS",
"middle_name": "C.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2012-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "722",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA722",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "LA",
"license": "PA767",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002402171",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.