Scott W. Fisher, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G41278 Issued in CA

Practice address

3298 Montecito Meadow Dr
Santa Rosa, CA 95404-1849

Phone

(707) 217-3179

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1861576845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3298 MONTECITO MEADOW DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041849",
            "telephone_number": "707-217-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3298 MONTECITO MEADOW DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041849",
            "telephone_number": "707-217-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SCOTT",
        "middle_name": "W.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G41278",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "254926",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G412780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Dale Fish
• Jennifer Cecilia Fish, M.D.
• Jaimie L Fisher, CATC I
• Kathy Lynn Fisher, MFT
• Patrick Arin Fisher, PHARM.D.
• Geraldine Fitzgerald, CMT
• Jon E Fitzpatrick, O.D.
• Mary Corsina Fiumara, LCSW
• Katherine Flanagan
• Betsy J. Flannery

• Pediatrics Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2013; 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.