Active NPI
Samantha Fischer, PA-C
- Medical Physician Assistant
- Towson, MD
National Provider Identifier
1598105207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- C07082
- Practice address
- 7501 Osler Dr Ste 205
Towson, MD 21204-7743 - Phone
- (410) 427-5510
- Fax
- (410) 427-5511
- NPI assigned
- Jun 26, 2013
- Last updated
- Oct 27, 2020
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA23191 | CA | |
| Medical Physician Assistant | 363AM0700X | 25MP00301200 | NJ | |
| Medical Physician Assistant | 363AM0700X | MA055711 | PA | |
| Medical Physician Assistant | 363AM0700X | PA 1434 | NV | |
| Medical Physician Assistant | 363AM0700X | C07082 | MD | Primary |
Addresses
Primary practice location
7501 Osler Dr Ste 205
Towson, MD 21204-7743
Mailing address
900 Elkridge Landing Rd FL 2
Linthicum, MD 21090-2924
Phone (443) 462-5010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.09 of 100
- Quality
- 79.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA23191 | CA | MD | Medical Physician Assistant |
| C07082 | MD | MD | Medical Physician Assistant |
| 25MP00301200 | NJ | MD | Medical Physician Assistant |
| PA 1434 | NV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Maryland St. Joseph Medical Group, LLC | Current | Accepting new patients | |
| Ronald J. Botelho, MD, LTD | Past | Accepting new patients |
Locations
7501 Osler Dr
Ste 205
Towson, MD 21204
Phone (410) 337-1293
7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba University of Maryland St. Joseph Medical Group
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- Towson, MD
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603756800000",
"number": "1598105207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 ELKRIDGE LANDING RD FL 2",
"city": "LINTHICUM",
"state": "MD",
"postal_code": "210902924",
"telephone_number": "443-462-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 OSLER DR STE 205",
"city": "TOWSON",
"state": "MD",
"postal_code": "212047743",
"telephone_number": "410-427-5510",
"fax_number": "410-427-5511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "SAMANTHA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-26",
"last_updated": "2020-10-27",
"certification_date": "2020-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "PA23191",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NJ",
"license": "25MP00301200",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA055711",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA 1434",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MD",
"license": "C07082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; 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.