Mark A. Fisher, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

19624 Issued in OK

Practice address

3524 NW 56TH St
Oklahoma City, OK 73112-4518

Phone

(405) 751-6440

Fax

(405) 563-9368

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Integris Baptist Medical Center, Inc

  • Rehabilitation Hospital Unit
  • Oklahoma City, OK
  • NPI 1831663657
  NPD (past)
• Wynter Kipgen MD PLLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
  • NPI 1306056205
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1700970274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20730",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731560730",
            "telephone_number": "405-751-6440",
            "fax_number": "405-563-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 NW 56TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124518",
            "telephone_number": "405-751-6440",
            "fax_number": "405-563-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OK",
            "license": "19624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100214350A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WATERSTONE BENEFIT",
            "identifier": "73-1614843",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Fisher, APRN
• Haley Fisher, OTD
• James Kenneth Fisher, PH.D.
• Jennifer Dhon Fisher, P.T.
• Lacie Fisher, COTA
• Myles Fisher, D.O.
• Robert Darryl Fisher, M.D.
• Roderick Bryant Fisher, LPC-C
• Sarah Nicole Fisher
• Steven M Fishkin, PH.D.

• Neurology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Neurology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.