Active NPI
Mary Margaret Fischer, CPO
- Orthotist
- Coeur D Alene, ID
National Provider Identifier
1891089215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OI60177376
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OI60177376 | WA | MD | Orthotist |
| PS60177307 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Prosthetic/Orthotic Supplier
- Coeur D Alene, ID
- NPI 1659692739
Orthotist
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.