Marjeanne R Fisher

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

RN137249 Issued in OH

Legal business name

MARJEANNE R FISHER

Doing business as

new image breast prosthesis

Practice address

765 Beissinger Rd
Hamilton, OH 45013-9762

Phone

(513) 867-1184

NPI assigned

Jun 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Marjeanne Rose Fisher

Title

Owner

Phone

(513) 867-1184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• new image breast prosthesis Doing business as

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1740221357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 HUSTON RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450139762",
            "telephone_number": "513-867-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 BEISSINGER RD",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450139762",
            "telephone_number": "513-867-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARJEANNE R FISHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "MARJEANNE",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-867-1184",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "OH",
            "license": "RN137249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903982",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "new image breast prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lyndsey Kelley Marconi
• Samantha Paige Marcum
• Zachary Marcum, LSW
• Beth Ann Marhefka
• Kristopher Marin, D.O.
• Heather Lynn Marlow
• Jamie Lee Marlow, CDCA
• Lauren Marsh
• Zachary T Marsh, CDCA
• Taylor Marshall

• Prosthetic/Orthotic Supplier in Hamilton, OH
• Providers in Hamilton, OH by specialty
• Prosthetic/Orthotic Supplier in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.