Individual provider Active NPI

Maria Carol Fisher, M.D.

  • Pediatrics Physician
  • Arlington, TX
National Provider Identifier
1922130582
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J7957 Issued in TX
Practice address
2624 Matlock Rd Ste 110
Arlington, TX 76015-2525
Phone
(817) 275-8131
Fax
(817) 795-9700
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J7957 TX Primary

Addresses

Primary practice location

2624 Matlock Rd Ste 110
Arlington, TX 76015-2525

Mailing address

2624 Matlock Rd Ste 110
Arlington, TX 76015-2525
Phone (817) 275-8131

Other identifiers 2

IdentifierTypeStateIssuer
121358908MedicaidTX
121358907MedicaidTX

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J7957TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Pediatric Partners PLLC Pediatrics CurrentSince Apr 16, 2023 Accepting new patients

Locations

2624 Matlock Rd
Ste 110
Arlington, TX 76015
Phone (817) 275-8131

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1922130582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 MATLOCK RD STE 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-275-8131",
            "fax_number": "817-795-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 MATLOCK RD STE 110",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760152525",
            "telephone_number": "817-275-8131",
            "fax_number": "817-795-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "MARIA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J7957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121358908",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121358907",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.