Mark F Fisher, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

5072 Issued in ND

Practice address

801 Broadway N
Fargo, ND 58102-3641

Phone

(701) 234-2309

NPI assigned

Jun 13, 2005

Last updated

Jan 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Medical Imaging Center LLC

  dba Southwest Imaging Centers

  • Diagnostic Radiology Physician
  • Vancouver, WA
  • NPI 1114008737
  NPD (past)
• Pacific Northwest Radiology LLC

  • Diagnostic Radiology Physician
  • Juneau, AK
  • NPI 1528284387
  NPD (past)
• Radiology Associates PC

  • Diagnostic Radiology Physician
  • Springfield, OR
  • NPI 1720018393
  NPD (past)
• Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Springfield, OR
  • NPI 1164452736
  NPD (past)
• Vancouver Radiologists a Professional Corp

  dba Vancouver Radiologists, P.C.

  • Diagnostic Radiology Physician
  • Vancouver, WA
  • NPI 1811992670
  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1528062924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BROADWAY N",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581023641",
            "telephone_number": "701-234-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00019627",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "5072",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "31273",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14202",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8143737",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Fish, RN
• Jacob Fish, M.D.
• Brandon Fisher, MD
• Haley Fisher, DNP
• Jennifer L Fisher, PAC
• Morgan Fisher
• Mary J Fiske, RPH
• Taylor Fiske
• Heidi Fiskness
• Derrick Fitterer, DPT

• Diagnostic Radiology Physician in Fargo, ND
• Providers in Fargo, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.

Verify at the official NPI Registry.