Active NPI
Robert H Fisher, M.D.
- Internal Medicine Physician
- Glendale, WI
National Provider Identifier
1841214061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34325-020
- Practice address
- 350 W Green Tree Rd
Glendale, WI 53217 - Phone
- (262) 784-5431
- Fax
- (414) 352-0083
- NPI assigned
- Jul 27, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 34325-020 | WI | |
| Internal Medicine Physician | 207R00000X | 34325-020 | WI | Primary |
Addresses
Primary practice location
350 W Green Tree Rd
Glendale, WI 53217
Mailing address
350W Green Tree Rd 200
Glendale, WI 53217-3815
Phone (414) 352-0084
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0557326 | Other | CIGNA | |
| 3920328241071690 | Other | UNITED HEALTHCARE | |
| P00308927 | Other | WI | MEDICARE RAILROAD |
| 31925700 | Medicaid | WI | |
| 392032824 | Other | WEA | |
| 4638942 | Other | AETNA |
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
Interoperability endpoints
- rfisher8801@direct.phci.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448323200000",
"number": "1841214061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350W GREEN TREE RD 200",
"city": "GLENDALE",
"state": "WI",
"postal_code": "532173815",
"telephone_number": "414-352-0084",
"fax_number": "414-352-0083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W GREEN TREE RD",
"city": "GLENDALE",
"state": "WI",
"postal_code": "53217",
"telephone_number": "262-784-5431",
"fax_number": "414-352-0083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "ROBERT",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2015-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "WI",
"license": "34325-020",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "34325-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0557326",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "3920328241071690",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00308927",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31925700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WEA",
"identifier": "392032824",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4638942",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.