Active NPI
Alfred Fischer, D.C.
- Chiropractor
- Washington, MO
National Provider Identifier
1558476366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 004925
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26408 | Other | MO | GROUP HEALTH PLAN |
| 238035 | Other | MO | HEALTHLINK |
| 309002 | Other | MO | AETNA |
| 4400439 | Other | MO | UNITED HEALTH CARE |
| 6296 | Other | MO | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 004925 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fischer Chiropractic Inc | Chiropractor | Current | 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.
-
- Chiropractor
- Washington, MO
- NPI 1770771818
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.