Organization Active NPI

S J Fisher & Associates Foot & Ankle Specialist PA

  • Foot & Ankle Surgery Podiatrist
  • Sugar Land, TX
National Provider Identifier
1700221900
Registry record updated Jun 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1609 Issued in TX
Legal business name
S J FISHER & ASSOCIATES FOOT & ANKLE SPECIALIST PA
Practice address
15200 Southwest Fwy Ste 310
Sugar Land, TX 77478-3864
Phone
(281) 313-6300
Fax
(832) 673-0060
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2018

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

Authorized official

Name
Dr. Sybil J Fisher, DPMNPI 1558338848
Title
Owner
Phone
(281) 313-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 1609 TX Primary

Addresses

Primary practice location

15200 Southwest Fwy Ste 310
Sugar Land, TX 77478-3864

Mailing address

5151 Katy Fwy Ste 200
Houston, TX 77007-2261
Phone (832) 673-0500

Other identifiers 1

IdentifierTypeStateIssuer
174664602MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040910000140 TX Part B Supplier - Clinic/Group Practice 9234106220 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Houston, TX; Sugar Land, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

5151 Katy Fwy
Ste 200
Houston, TX 77007
Phone (832) 673-0500

3625 Green Crest Dr
Houston, TX 77082
Phone (281) 558-1166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1700221900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 KATY FWY STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770072261",
            "telephone_number": "832-673-0500",
            "fax_number": "832-673-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 SOUTHWEST FWY STE 310",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783864",
            "telephone_number": "281-313-6300",
            "fax_number": "832-673-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S J FISHER & ASSOCIATES FOOT & ANKLE SPECIALIST PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2018-06-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "SYBIL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-313-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "1609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174664602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.