Individual provider Active NPI

Mary Margaret Fischer, CPO

  • Orthotist
  • Coeur D Alene, ID
National Provider Identifier
1891089215
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OrthotistTaxonomy code 222Z00000X
License
OI60177376 Issued in WA
Practice address
2204 Ironwood PL
Suite a
Coeur D Alene, ID 83814-2662
Phone
(208) 765-0597
Fax
(208) 765-0598
NPI assigned
Jun 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotist 222Z00000X OI60177376 WA Primary
Prosthetist 224P00000X PS60177307 WA

Addresses

Primary practice location

2204 Ironwood PL
Suite a
Coeur D Alene, ID 83814-2662

Mailing address

2204 Ironwood PL
Suite a
Coeur D Alene, ID 83814-2662
Phone (208) 765-0597

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

State licenses

LicenseStateTypeSpecialty
OI60177376WAMDOrthotist
PS60177307WAMDProsthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Prosthetics and Orthotics LLC Orthotist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1891089215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 IRONWOOD PL",
            "address_2": "SUITE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142662",
            "telephone_number": "208-765-0597",
            "fax_number": "208-765-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 IRONWOOD PL",
            "address_2": "SUITE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142662",
            "telephone_number": "208-765-0597",
            "fax_number": "208-765-0598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WA",
            "license": "OI60177376",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "WA",
            "license": "PS60177307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.