Individual provider Active NPI

Alfred Fischer, D.C.

  • Chiropractor
  • Washington, MO
National Provider Identifier
1558476366
Registry record updated Aug 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
004925 Issued in MO
Practice address
1190 Jefferson St
Suite 203
Washington, MO 63090-4443
Phone
(636) 239-3265
Fax
(636) 239-5385
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 004925 MO Primary

Addresses

Primary practice location

1190 Jefferson St
Suite 203
Washington, MO 63090-4443

Mailing address

1190 Jefferson St
Suite 203
Washington, MO 63090-4443
Phone (636) 239-3265

Other identifiers 5

IdentifierTypeStateIssuer
26408OtherMOGROUP HEALTH PLAN
238035OtherMOHEALTHLINK
309002OtherMOAETNA
4400439OtherMOUNITED HEALTH CARE
6296OtherMOBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101105000675 MO Practitioner - Chiropractic 7517152309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 Jefferson St
Suite 203
Washington, MO 63090-4443
Phone (636) 239-3265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004925MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Chiropractic Inc Chiropractor CurrentSince Aug 1, 2002 Accepting new patients

Locations

1801 Jefferson St
Hermann, MO 65041
Phone (573) 486-5715

1190 Jefferson St
Ste 203
Washington, MO 63090
Phone (636) 239-3265

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1558476366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 JEFFERSON ST",
            "address_2": "SUITE 203",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904443",
            "telephone_number": "636-239-3265",
            "fax_number": "636-239-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 JEFFERSON ST",
            "address_2": "SUITE 203",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904443",
            "telephone_number": "636-239-3265",
            "fax_number": "636-239-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "ALFRED",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "004925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "26408",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "238035",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "309002",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "4400439",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "6296",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.