NPIMap

Individual provider Active NPI

Jay E Fisher, MD

  • Obstetrics & Gynecology Physician
  • West Bloomfield, MI
National Provider Identifier
1811970171
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301059572 Issued in MI
Practice address
5793 W Maple Rd Ste 147
West Bloomfield, MI 48322-4478
Phone
(248) 862-7221
Fax
(248) 970-2941
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301059572 MI Primary

Addresses

Primary practice location

5793 W Maple Rd Ste 147
West Bloomfield, MI 48322-4478

Mailing address

5777 W Maple Rd
Suite 200
West Bloomfield, MI 48322-2267
Phone (248) 932-9223

Other identifiers 2

IdentifierTypeStateIssuer
16OF35190OtherMIBCBSM
4088803-10MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080821000581 MI Practitioner - Obstetrics/Gynecology 7911996137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Wayne State University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

5839 W Maple Rd
Suite 100
West Bloomfield, MI 48322-2278
Phone (248) 862-7221

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301059572MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Pathology Current Accepting new patients
Uwh of Michigan PLC Obstetrics & Gynecology CurrentSince Apr 24, 2024 Accepting new patients
Henry Ford Health System Obstetrics & Gynecology CurrentSince Jul 17, 2015 Accepting new patients
Henry Ford Health System CurrentSince Jul 17, 2015 Accepting new patients
Metro Partners in Womens Health, PC Obstetrics & Gynecology Past Accepting new patients
William Beaumont Hospital Past Accepting new patients

Locations

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

46325 W Twelve Mile Rd
Ste 250
Novi, MI 48377
Phone (248) 465-1200

3601 W 13 Mile Rd
Royal Oak, MI 48073

5839 W Maple Rd
Ste 100
West Bloomfield, MI 48322
Phone (248) 629-0546

6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000

5793 W Maple Rd
Ste 147
West Bloomfield, MI 48322
Phone (248) 626-0001

Interoperability endpoints

  • Direct secure messaging: jay.fisher.1@26060.direct.athenahealth.com
  • Direct secure messaging: jfisher58679@direct.hfhs.org
  • Direct secure messaging: jfisher1456359@epic00.shdirect.org

Organizations & group practices 6

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

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1811970171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "address_2": "SUITE 200",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267",
            "telephone_number": "248-932-9223",
            "fax_number": "248-932-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5793 W MAPLE RD STE 147",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224478",
            "telephone_number": "248-862-7221",
            "fax_number": "248-970-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JAY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301059572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "16OF35190",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4088803-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.