Organization Active NPI

Fisher Medical Group LTD

  • Family Medicine Physician
  • Peoria, AZ
National Provider Identifier
1578615977
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9806 Issued in AZ
Legal business name
FISHER MEDICAL GROUP LTD
Practice address
13090 N 94TH Dr
200
Peoria, AZ 85381-4256
Phone
(623) 977-0661
Fax
(623) 972-0161
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Dr. Catherine A Fisher, MDNPI 1366621278
Title
President
Phone
(623) 977-0661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9806 AZ Primary

Addresses

Primary practice location

13090 N 94TH Dr
200
Peoria, AZ 85381-4256

Mailing address

13090 N 94TH Dr
200
Peoria, AZ 85381-4256
Phone (623) 977-0661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081001000711 AZ Part B Supplier - Clinic/Group Practice 4587640206 Receives reassigned benefits from 1 practitioner
Practice locations: Peoria, AZ

National Provider Directory

National Provider Directory

Locations

9139 W Thunderbird Rd
Ste 200
Peoria, AZ 85381
Phone (623) 776-6133

13090 N 94th Dr
Ste 200
Peoria, AZ 85381
Phone (623) 876-9494

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1578615977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "address_2": "200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-977-0661",
            "fax_number": "623-972-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13090 N 94TH DR",
            "address_2": "200",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853814256",
            "telephone_number": "623-977-0661",
            "fax_number": "623-972-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISHER MEDICAL GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-977-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "9806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.