Active NPI
Ross Lane Fisher, MD
- Internal Medicine Physician
- Chickasha, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 15687
- 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
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 |
|---|---|---|---|---|
| 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
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15687 | OK | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| South Central Medical and Resource Center Inc. | Current | Accepting new patients | |
| Southern Plains Medical Center Inc | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Lindsay, OK
- NPI 1366585564
-
dba CareFirst Wellness Associates
- Clinic/Center
- Anadarko, OK
- NPI 1255357745
-
dba CareFirst Wellness Associates
- Clinic/Center
- Norman, OK
- NPI 1881499655
-
dba CareFirst Wellness Associates
- Clinic/Center
- Chickasha, OK
- NPI 1962469098
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.