Active NPI
Larry S Fisher MD PC
- Infectious Disease Physician
- Denver, CO
National Provider Identifier
1588798516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- LARRY S FISHER MD PC
- Practice address
- 4101 W Conejos PL
Suite 300
Denver, CO 80204-1377 - Phone
- (303) 629-2091
- NPI assigned
- Mar 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Larry S Fisher
- Title
- President
- Phone
- (303) 629-2091
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
4101 W Conejos PL
Suite 300
Denver, CO 80204-1377
Mailing address
3464 S Willow St
Suite 096
Denver, CO 80231-4531
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04006904 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1930 S Federal Blvd
#B500
Denver, CO 80219
Phone (303) 935-9142
3464 S Willow St
Ste 96
Denver, CO 80231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1588798516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3464 S WILLOW ST",
"address_2": "SUITE 096",
"city": "DENVER",
"state": "CO",
"postal_code": "802314531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 W CONEJOS PL",
"address_2": "SUITE 300",
"city": "DENVER",
"state": "CO",
"postal_code": "802041377",
"telephone_number": "303-629-2091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LARRY S FISHER MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-629-2091"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04006904",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.