Active NPI
Cory M Fisher, DO
- Family Medicine Physician
- Rocky River, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34.008679
- Practice address
- 19324 Detroit Rd
Rocky River, OH 44116-1802 - Phone
- (440) 356-3640
- Fax
- (440) 356-3729
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.008679 | OH | Primary |
Addresses
Primary practice location
19324 Detroit Rd
Rocky River, OH 44116-1802
Mailing address
19324 Detroit Rd
Rocky River, OH 44116-1802
Phone (440) 356-3640
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000526275 | Other | ANTHEM BC/BS | |
| 00000526262 | Other | ANTHEM BC/BS | |
| 2749066 | Medicaid | OH | |
| P00441657 | Other | OH | RRCARE |
| P00705928 | Other | OH | RAILROAD CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ohio University, College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
14601 Detroit Ave
Lakewood, OH 44107-4205
19324 Detroit Rd
Rocky River, OH 44116-1802
Phone (440) 356-3640
8950 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-8950
9500 Euclid Ave
Cleveland, OH 44195-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008679 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Cleveland Clinic Foundation | Current | Accepting new patients | |
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients | |
| Lakewood Hospital Association | Past | Accepting new patients | |
| Lakewood Hospital Association | Family Medicine | Past | Accepting new patients |
Locations
36901 American Way
Avon, OH 44011
Phone (440) 930-6200
9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270
14601 Detroit Ave
Lakewood, OH 44107
Phone (216) 237-5500
19324 Detroit Rd
Rocky River, OH 44116
Phone (440) 356-3496
850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737
Interoperability endpoints
- cfisherdo28752@direct.ccf.org
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.
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
-
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
-
- Family Medicine Physician
- Lakewood, OH
- NPI 1205933512
-
- Pharmacy
- Lakewood, OH
- NPI 1386089670
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Avon, OH
- NPI 1346607017
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1215989611
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1194763045
-
- General Acute Care Hospital
- Cleveland, OH
- NPI 1679525919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245974400000",
"number": "1730304304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19324 DETROIT RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161802",
"telephone_number": "440-356-3640",
"fax_number": "440-356-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19324 DETROIT RD",
"city": "ROCKY RIVER",
"state": "OH",
"postal_code": "441161802",
"telephone_number": "440-356-3640",
"fax_number": "440-356-3729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "CORY",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2009-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34.008679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "000000526275",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "00000526262",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2749066",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRCARE",
"identifier": "P00441657",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD CARE",
"identifier": "P00705928",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky River, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2009; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.