Active NPI
Edward Carl Fisher Sr.
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1609800846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 19688
- Practice address
- 1025 Morehead Medical Dr
Suite 450
Charlotte, NC 28204-2963 - Phone
- (704) 446-7800
- Fax
- (704) 446-7875
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 19688 | NC | Primary |
Addresses
Primary practice location
1025 Morehead Medical Dr
Suite 450
Charlotte, NC 28204-2963
Mailing address
1025 Morehead Medical Dr
Suite 450
Charlotte, NC 28204-2963
Phone (704) 446-7800
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8932137 | Medicaid | NC | |
| 32137 | Other | NC | BLUE CROSS BLUE SHIELD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19688 | NC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastover Obstetrics and Gynecology Associates Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| Eastover Obstetrics and Gynecology Associates Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1518982768
-
- Obstetrics & Gynecology Physician
- Indian Trail, NC
- NPI 1548598857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609800846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MOREHEAD MEDICAL DR",
"address_2": "SUITE 450",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042963",
"telephone_number": "704-446-7800",
"fax_number": "704-446-7875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MOREHEAD MEDICAL DR",
"address_2": "SUITE 450",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042963",
"telephone_number": "704-446-7800",
"fax_number": "704-446-7875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "EDWARD",
"middle_name": "CARL",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "19688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8932137",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "32137",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.