NPIMap

Individual provider Active NPI

John Samuel Fisher, MD

  • Urology Physician
  • Tampa, FL
National Provider Identifier
1982059440
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
ME154092 Issued in FL
Practice address
2708 W Saint Isabel St FL 33607
Tampa, FL 33607-6320
Phone
(813) 877-7434
NPI assigned
May 3, 2016
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TN
Urology Physician 208800000X ME154092 FL Primary

Addresses

Primary practice location

2708 W Saint Isabel St FL 33607
Tampa, FL 33607-6320

Mailing address

2708 W Saint Isabel St FL 33607
Tampa, FL 33607-6320
Phone (813) 877-7434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708001788 FL Practitioner - Urology 8224324611 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of South Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Urology Partners LLPGroup PAC ID 2062574924, 66 clinicians

Practice addresses (Care Compare)

2708 W Saint Isabel St
Tampa, FL 33607-6320
Phone (813) 877-7434

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection13
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
Florida Urology Partners, LLP Single Specialty CurrentSince Aug 1, 2022 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Aug 1, 2022 Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc Urology PastSince Jun 1, 2022 Accepting new patients

Locations

4211 Van Dyke Rd
Ste 206
Lutz, FL 33558
Phone 81335601961400

2708 W Saint Isabel St
Tampa, FL 33607
Phone (813) 870-1014

2803 W Saint Isabel St
Tampa, FL 33607
Phone (813) 389-5324

5015 W Nassau St
Tampa, FL 33607
Phone (813) 356-0196

12408 N 56th St
Ste 1
Temple Terrace, FL 33617
Phone (813) 980-3104

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: jfisher217940@direct.tgh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1462233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1982059440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 W SAINT ISABEL ST FL 33607",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076320",
            "telephone_number": "813-877-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2708 W SAINT ISABEL ST FL 33607",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076320",
            "telephone_number": "813-877-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHER",
        "first_name": "JOHN",
        "middle_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-03",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME154092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.