Individual provider Active NPI

Richard K Fisher, D.O.

  • Psychiatry Physician
  • Vonore, TN
National Provider Identifier
1760413678
Registry record updated Aug 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO933 Issued in TN
Practice address
1206 Highway 411
Vonore, TN 37885-2455
Phone
(423) 884-7271
Fax
(423) 884-3277
NPI assigned
Jul 6, 2006
Last updated
Aug 19, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO933 TN Primary

Addresses

Primary practice location

1206 Highway 411
Vonore, TN 37885-2455

Mailing address

PO Box 278
Madisonville, TN 37354-0278
Phone (423) 442-2622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160104001467 TN Practitioner - PsychiatryPractitioner - Family Practice 2860794161 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO933TNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chota Community Health Services CurrentSince Nov 22, 2015 Accepting new patients
Chota Community Health Services CurrentSince Nov 22, 2015 Accepting new patients
Trinity Behavioral Medicine, PLLC Psychiatry Current Accepting new patients

Locations

4798 New Highway 68
Madisonville, TN 37354
Phone (423) 884-7271

145 Fifth St
Tellico Plains, TN 37385
Phone (423) 253-6545

1206 Highway 411
Vonore, TN 37885
Phone (423) 884-7271

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1760413678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "MADISONVILLE",
            "state": "TN",
            "postal_code": "373540278",
            "telephone_number": "423-442-2622",
            "fax_number": "423-442-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 HIGHWAY 411",
            "city": "VONORE",
            "state": "TN",
            "postal_code": "378852455",
            "telephone_number": "423-884-7271",
            "fax_number": "423-884-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RICHARD",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "DO933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vonore, TN

Sources for this page

Verify at the official NPI Registry.