Edward H Fisher III M.D., P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD 18628 Issued in AL

Legal business name

EDWARD H FISHER III M.D., P.C.

Practice address

715 Gandy St NE
Suite B
Russellville, AL 35653-1922

Phone

(256) 332-1800

Fax

(256) 332-1815

NPI assigned

Dec 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward H Fisher III, MD

Title

Dr

Phone

(256) 332-1800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1578746244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 759",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356530759",
            "telephone_number": "256-332-1800",
            "fax_number": "256-332-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 GANDY ST NE",
            "address_2": "SUITE B",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531922",
            "telephone_number": "256-332-1800",
            "fax_number": "256-332-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD H FISHER III M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "256-332-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AL",
            "license": "MD 18628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Russellville, AL
• Providers in Russellville, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.