Active NPI
Gregg J Fisher, D.C.
- Chiropractor
- Montoursville, PA
National Provider Identifier
1922086115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC004504L
- Practice address
- 268 Broad Street
Montoursville, PA 17754 - Phone
- (570) 368-2413
- Fax
- (570) 368-2122
- NPI assigned
- Jan 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC004504L | PA | Primary |
Addresses
Primary practice location
268 Broad Street
Montoursville, PA 17754
Mailing address
PO Box 369
Montoursville, PA 17754
Phone (570) 368-2413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041215000341 | PA | Practitioner - Chiropractic | 7911964580 | Practice locations: Montoursville, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
268 Broad St
Montoursville, PA 17754-2204
Phone (570) 368-2413
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC004504L | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1922086115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "17754",
"telephone_number": "570-368-2413",
"fax_number": "570-368-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 BROAD STREET",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "17754",
"telephone_number": "570-368-2413",
"fax_number": "570-368-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FISHER",
"first_name": "GREGG",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-06",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC004504L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.