Individual provider Active NPI

Gerard J. Fischer Jr., P.A.

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1912090978
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2582 Issued in FL
Practice address
350 7TH St N
Naples, FL 34102-5754
Phone
(239) 624-0310
Fax
(239) 624-0311
NPI assigned
Oct 2, 2006
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA2582 FL Primary

Addresses

Primary practice location

350 7TH St N
Naples, FL 34102-5754

Mailing address

PO Box 26067
Salt Lake City, UT 84126-0067
Phone (239) 624-0400

Other identifiers 2

IdentifierTypeStateIssuer
Y01E3OtherFLBCBS
112864100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060501000344 FL Practitioner - Physician Assistant 6709896129 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Assistance Solution Corp.Group PAC ID 7315330776, 3 clinicians

Practice addresses (Care Compare)

11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000

160 W Camino Real
Boca Raton, FL 33432-5942
Phone (786) 206-1325

350 7TH St N
Naples, FL 34102-5754

6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

8300 Collier Blvd
Naples, FL 34114-3549
Phone (813) 899-6226

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2582FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Dec 1, 2021 Accepting new patients
Millennium Physician Group LLC CurrentSince Jun 1, 2013 Accepting new patients
Boca Raton Regional Hospital, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Dec 1, 2021 Accepting new patients
Anchor Health Centers PA Past Accepting new patients
John P Landi MD Inc PastSince Sep 16, 2002 Accepting new patients
H Morton Bertram III MD Past Accepting new patients
Prohealth Select, Inc. Physician Assistant PastSince Dec 17, 2020 Accepting new patients
Collier Sports Medicine and Orthopaedic Center PA PastSince Jul 1, 2001 Accepting new patients
Myles Rubin Samotin MD PA PastSince Nov 6, 2022 Accepting new patients
Restoration Orthopedics PastSince Oct 1, 2002 Accepting new patients

Locations

160 W Camino Real
Boca Raton, FL 33432
Phone (203) 568-6064

1009 Crosspointe Dr
Ste 2
Naples, FL 34110
Phone (239) 592-0373

11181 Health Park Blvd
Ste 2220
Naples, FL 34110
Phone (239) 591-1111

130 Tamiami Trl N
Ste 220
Naples, FL 34102
Phone (239) 312-7800

311 Tamiami Trl N
Ste 308
Naples, FL 34102
Phone (239) 417-0085

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

400 8th St N
Naples, FL 34102
Phone (239) 261-5511

501 Goodlette Rd
Ste A100
Naples, FL 34102
Phone (239) 430-2520

6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000

6101 Pine Ridge Rd
Fl 2
Naples, FL 34119
Phone (239) 659-5633

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

800 Goodlette Rd
Ste 230
Naples, FL 34102
Phone (941) 434-2347

3434 Hancock Bridge Pkwy
Ste 301
North Ft Myers, FL 33903
Phone 877856377411108

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IACDAA

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 3

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1912090978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26067",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841260067",
            "telephone_number": "239-624-0400",
            "fax_number": "239-624-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 7TH ST N",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025754",
            "telephone_number": "239-624-0310",
            "fax_number": "239-624-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "GERARD",
        "middle_name": "J.",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y01E3",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112864100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.