Jerrold Fisher, MD
Individual provider Active NPI Emergency Medicine Physician · Fraser, MI
NPI 1700824968 · NPPES record last updated Nov 7, 2008
Key facts
- NPI
- 1700824968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301056717 (MI)
- Practice address
- 17717 Masonic
Fraser, MI 48026-3158 - Phone
- (586) 294-0600
- NPI assigned
- Jun 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independent Observation Physicians PLLC
Independent Emergency Physicians PC
Practice addresses (Care Compare)
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Ascension Providence Hospital, Southfield and Novi
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040526001142 | MI | Practitioner - Emergency Medicine | 0547241416 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Observation Physicians PLLC | Current |
Accepting new patients | |
| Independent Emergency Physicians, P.C. | Current |
Accepting new patients | |
| Observation Emergency Physicians, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Department Physicians, P.C. | Emergency Medicine | Current |
Accepting new patients |
Locations
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
17717 Masonic
Fraser, MI 48026
Phone (586) 294-0600
205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000
1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805
16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
Interoperability endpoints
- jfisher1126809@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 4301056717 | MI | Yes |
Addresses
Primary practice location
17717 Masonic
Fraser, MI 48026-3158
Mailing address
17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600
Other providers in Fraser, MI
- Tania Elia
- Sarah Ruth Englehardt
- Eye Care Providers of Michigan PC
- Eye Care Providers of Michigan PC
- Family Option Services
- Fracer Optical Clinic Inc.
- Fraser Center of Natural Therapies
- Fraser Family Dental PC
- Fraser Optical Clinic, Inc.
- Fraser RX Pharmacy LLC
All providers in Fraser, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.