Individual provider Active NPI

Ronald Fisher, M.D.

  • Psychiatry Physician
  • Huntingdon, PA
National Provider Identifier
1760488878
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD057750L Issued in PA
Practice address
900 Bryan St
Suite 5
Huntingdon, PA 16652-2413
Phone
(814) 643-8442
Fax
(814) 643-8776
NPI assigned
Jun 23, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MD057750L PA Primary

Addresses

Primary practice location

900 Bryan St
Suite 5
Huntingdon, PA 16652-2413

Mailing address

311 South Allen St.
Suite C-3
State College, PA 16801-1680
Phone (814) 231-3888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD057750LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Behavioral Healthcare Management Services, Inc. Psychiatry Past Accepting new patients
Integrated Behavioral Healthcare Management Services, Inc. PastSince Dec 1, 2005 Accepting new patients

Organizations & group practices 2

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760488878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SOUTH ALLEN ST.",
            "address_2": "SUITE C-3",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168011680",
            "telephone_number": "814-231-3888",
            "fax_number": "814-231-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BRYAN ST",
            "address_2": "SUITE 5",
            "city": "HUNTINGDON",
            "state": "PA",
            "postal_code": "166522413",
            "telephone_number": "814-643-8442",
            "fax_number": "814-643-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD057750L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntingdon, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.