Active NPI
Elizabeth Joy Fisher, MD
- Pediatrics Physician
- Mesa, AZ
National Provider Identifier
1598090821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 43934
- Practice address
- 10720 E Southern Ave
Suite 116
Mesa, AZ 85209-3810 - Phone
- (480) 365-0050
- Fax
- (480) 365-0049
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 43934 | AZ | Primary |
Addresses
Primary practice location
10720 E Southern Ave
Suite 116
Mesa, AZ 85209-3810
Mailing address
10720 E Southern Ave
116
Mesa, AZ 85209-3810
Phone (480) 365-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 649863 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43934 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cactus Childrens Clinic PC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Glendale, AZ
- NPI 1891850145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1598090821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10720 E SOUTHERN AVE",
"address_2": "116",
"city": "MESA",
"state": "AZ",
"postal_code": "852093810",
"telephone_number": "480-365-0050",
"fax_number": "480-365-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10720 E SOUTHERN AVE",
"address_2": "SUITE 116",
"city": "MESA",
"state": "AZ",
"postal_code": "852093810",
"telephone_number": "480-365-0050",
"fax_number": "480-365-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ELIZABETH",
"middle_name": "JOY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "43934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "649863",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.