Individual provider Active NPI

Steven James Fisher, D.C.

  • Chiropractor
  • Two Rivers, WI
National Provider Identifier
1538488663
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2010014310 Issued in MO
Practice address
1817 Washington St
Two Rivers, WI 54241-2625
Phone
(920) 553-0328
NPI assigned
May 28, 2010
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2010014310 MO Primary
Chiropractor 111N00000X 4876-12 WI

Addresses

Primary practice location

1817 Washington St
Two Rivers, WI 54241-2625

Mailing address

1817 Washington St
Suite 101
Two Rivers, WI 54241-2625
Phone (920) 553-0328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130214000379 WI Practitioner - Chiropractic 8426182064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2010014310MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jones Family Chiropractic, LLC CurrentSince Jul 18, 2016 Accepting new patients
Wisconsin Center for Infusion, SC PastSince May 15, 2017 Accepting new patients
Back in Motion Chiropractic Past Accepting new patients
Harding Health Centers, Inc. Chiropractor Past Accepting new patients
Complete Chiropractic and Rehab Center of West Allis LLC Chiropractor PastSince Apr 30, 2003 Accepting new patients
Howard Chiropractic Clinic, S.C. PastSince Oct 1, 1998 Accepting new patients

Locations

814 S Main St
Ste B
Holmen, WI 54636
Phone (608) 526-3343

1210 S Koeller St
Oshkosh, WI 54902
Phone (920) 235-0000

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1538488663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412625",
            "telephone_number": "920-553-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 WASHINGTON ST",
            "city": "TWO RIVERS",
            "state": "WI",
            "postal_code": "542412625",
            "telephone_number": "920-553-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "STEVEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-28",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2010014310",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4876-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Two Rivers, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.