Individual provider Active NPI

Joanna Fisher, M.D.

  • Ophthalmology Physician
  • Huntingdon Valley, PA
National Provider Identifier
1740273382
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD029289E Issued in PA
Practice address
2755 Philmont Ave Ste 140
Huntingdon Valley, PA 19006-5321
Phone
(215) 938-7878
Fax
(215) 938-7985
NPI assigned
Aug 30, 2005
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD029289E PA Primary

Addresses

Primary practice location

2755 Philmont Ave Ste 140
Huntingdon Valley, PA 19006-5321

Mailing address

2755 Philmont Ave Ste 140
Huntingdon Valley, PA 19006-5321
Phone (215) 938-7878

Other identifiers 1

IdentifierTypeStateIssuer
001122071MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040730000227 PA Practitioner - Ophthalmology 2163411356

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Keystone Eye Associates, LLC Ophthalmology Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1740273382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE STE 140",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065321",
            "telephone_number": "215-938-7878",
            "fax_number": "215-938-7985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 PHILMONT AVE STE 140",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190065321",
            "telephone_number": "215-938-7878",
            "fax_number": "215-938-7985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD029289E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001122071",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon Valley, PA

Sources for this page

Verify at the official NPI Registry.