Active NPI
Jacob Anthony Fischer, DO
- General Practice Physician
- St Petersburg, FL
National Provider Identifier
1760985501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- DOS-2219
- Practice address
- 6500 38TH Ave N
St Petersburg, FL 33710-1629 - Phone
- (727) 384-7727
- NPI assigned
- Mar 16, 2018
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | DOS-2219 | HI | Primary |
Addresses
Primary practice location
6500 38TH Ave N
St Petersburg, FL 33710-1629
Mailing address
1420 54TH Ave N
Saint Petersburg, FL 33703-2642
Phone (213) 200-4597
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-2219 | HI | MD | General Practice Physician |
Interoperability endpoints
- jacob.fischer@hca4.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688601600000",
"number": "1760985501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 54TH AVE N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337032642",
"telephone_number": "213-200-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 38TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337101629",
"telephone_number": "727-384-7727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISCHER",
"first_name": "JACOB",
"middle_name": "ANTHONY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-16",
"last_updated": "2023-07-06",
"certification_date": "2023-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "DOS-2219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Petersburg, FL
- Lindy Marice Fireline, ACNP-BC
- First Choice Health & Providers, LLC
- First Guardian Homemaking and Companionship
- First Priority Anesthesia LLC
- First Step Physical Therapy & Wellness
- Bernard D Fishalow, MD
- Angela L Fisher, PHD
- Caramia Fisher, MSW
- Ingrid L Fisher, PHARMD
- Joseph Michael Fisher Jr., PHARM.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.