Active NPI
Beverly Anne Fischer, M.D.
- Plastic and Reconstructive Surgery Physician
- Timonium, MD
National Provider Identifier
1538199096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- D0037263
- Practice address
- 12205 Tullamore Rd
Timonium, MD 21093-7816 - Phone
- (410) 308-4700
- Fax
- (410) 308-4704
- NPI assigned
- Jul 3, 2006
- Last updated
- Aug 11, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0037263 | MD | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | D0037263 | MD | Primary |
Addresses
Primary practice location
12205 Tullamore Rd
Timonium, MD 21093-7816
Mailing address
12205 Tullamore Rd # 12205
Timonium, MD 21093-7816
Phone (410) 308-4700
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 298161100 | Medicaid | MD | |
| E422 0001 | Other | DC | CAREFIRST |
| KG04AD 53289903 | Other | MD | CAREFIRST |
| DE665 240006092 | Other | GA | RAILROAD MEDICARE |
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
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly a Fischer MD P a | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- bfischer229506@direct.umm.edu
Organizations & group practices 3
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.
-
- Plastic and Reconstructive Surgery Physician
- Timonium, MD
- NPI 1770501330
-
- Ambulatory Surgical Clinic/Center
- Timonium, MD
- NPI 1053664136
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470873600000",
"number": "1538199096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12205 TULLAMORE RD # 12205",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210937816",
"telephone_number": "410-308-4700",
"fax_number": "410-308-4704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12205 TULLAMORE RD",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210937816",
"telephone_number": "410-308-4700",
"fax_number": "410-308-4704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "BEVERLY",
"middle_name": "ANNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2016-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0037263",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "MD",
"license": "D0037263",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "298161100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "E422 0001",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST",
"identifier": "KG04AD 53289903",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DE665 240006092",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Timonium, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.