Individual provider Active NPI

John Fisher II, M.D.

  • Family Medicine Physician
  • Jonesboro, AR
National Provider Identifier
1720513401
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-12114 Issued in AR
Practice address
1010 S Main St
Jonesboro, AR 72401-3503
Phone
(870) 932-1820
NPI assigned
May 1, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-12114 AR Primary

Addresses

Primary practice location

1010 S Main St
Jonesboro, AR 72401-3503

Mailing address

PO Box 1533
Jonesboro, AR 72403-1533
Phone (870) 932-1820

Other identifiers 1

IdentifierTypeStateIssuer
271039001MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jfisher@jonesboroortho.com Direct

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20210803001298 AR Practitioner - Family Practice 7810267507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dickson Orthopedics PAGroup PAC ID 9335114941, 14 clinicians

Practice addresses (Care Compare)

1010 S Main St
Jonesboro, AR 72401-4362
Phone (870) 932-1820

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

Merit-based Incentive Payment System (MIPS)

Final score
17.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
58.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-12114ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dickson Orthopedics, P.a. CurrentSince Aug 2, 2021 Accepting new patients
Dickson Orthopedics, PA Current Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients
Spencer H. Guinn, M.D. P.a. PastSince Aug 28, 2021 Accepting new patients

Locations

1010 S Main St
Jonesboro, AR 72401
Phone (870) 932-1820

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1720513401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1533",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724031533",
            "telephone_number": "870-932-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S MAIN ST",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013503",
            "telephone_number": "870-932-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-12114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271039001",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfisher@jonesboroortho.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1010 S Main St",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724013503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.