Edward G Fisher MD PC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

MD25268 Issued in DC

Legal business name

EDWARD G FISHER MD PC

Practice address

3536 Minnesota Ave SE
#1
Washington, DC 20019-8270

Phone

(202) 581-0200

Fax

(202) 581-1040

NPI assigned

Jul 27, 2010

Organization subpart

No

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

Authorized official

Name

Edward Guy Fisher, MD

Title

President/Owner

Phone

(202) 581-0200

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1700190287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 MINNESOTA AVE SE",
            "address_2": "#1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200198270",
            "telephone_number": "202-581-0200",
            "fax_number": "202-581-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 MINNESOTA AVE SE",
            "address_2": "#1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200198270",
            "telephone_number": "202-581-0200",
            "fax_number": "202-581-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD G FISHER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "GUY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "202-581-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "DC",
            "license": "MD25268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021769900",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Adult Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.