Individual provider Active NPI

Ross Lane Fisher, MD

  • Internal Medicine Physician
  • Chickasha, OK
National Provider Identifier
1568403087
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15687 Issued in OK
Practice address
304 S 29TH St
Chickasha, OK 73018-2501
Phone
(405) 896-8058
Fax
(855) 223-1999
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15687 OK Primary

Addresses

Primary practice location

304 S 29TH St
Chickasha, OK 73018-2501

Mailing address

PO Box 929
Chickasha, OK 73023-0929
Phone (405) 896-8058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Oklahoma College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Medical and Resource Center IncGroup PAC ID 9032200084, 17 clinicians

Practice addresses (Care Compare)

216 S Main St
Lindsay, OK 73052-5634
Phone (405) 756-1414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15687OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Plains Medical Center Inc Current Accepting new patients
Southern Plains Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients
South Central Medical and Resource Center Inc. CurrentSince Oct 1, 2024 Accepting new patients
Southern Plains Medical Center Inc CurrentSince Oct 9, 2023 Accepting new patients

Locations

2222 W Iowa Ave
Chickasha, OK 73018

216 S Main St
Lindsay, OK 73052
Phone (405) 756-4303

102 S Main St
Lindsay, OK 73052

504 Williams
Maysville, OK 73057
Phone (405) 867-4404

109 E Kirby St
Washington, OK 73093
Phone (405) 288-1057

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1568403087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 929",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730230929",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 S 29TH ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182501",
            "telephone_number": "405-896-8058",
            "fax_number": "855-223-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "ROSS",
        "middle_name": "LANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "15687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chickasha, OK

Sources for this page

Verify at the official NPI Registry.