Michael R Fisher DO, PSC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

MICHAEL R FISHER DO, PSC

Practice address

44 McCoy Rd
Suite 103
Madisonville, KY 42431-2963

Phone

(270) 824-9222

Fax

(270) 824-8088

NPI assigned

Oct 6, 2005

Organization subpart

No

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

Authorized official

Name

Michael R. Fisher, DONPI 1255329090

Title

President

Phone

(270) 824-9222

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Fisher, DO

  • Gastroenterology Physician
  • Madisonville, KY
  • NPI 1255329090
  Medicare reassignment NPD Authorized official
• Everett Lee Shaw, PA-C

  • Physician Assistant
  • Decatur, IL
  • NPI 1437444163
  NPD (past)

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1548258395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424310009",
            "telephone_number": "270-924-9222",
            "fax_number": "270-824-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY RD",
            "address_2": "SUITE 103",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312963",
            "telephone_number": "270-824-9222",
            "fax_number": "270-824-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R FISHER DO, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-824-9222",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200377020",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65936205",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Meny, PSY.D.
• Amy Nicole Mercer, APRN
• Jessica Mercer, LPCC-S
• Joseph E. Mesa, MD
• Kole Metz, LPCC
• William R. Millay III, DMD
• Jamie T. Miller, APRN
• Stacey Michelle Miller, M.D
• Suzanna Ashby Mills, D.M.D
• Shanna Milutin, RN

• Gastroenterology Physician in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.