Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35049186F | OH |
NPI | 1013970599 |
---|---|
Provider Name | John Allen Fisher |
First Address | Columbus, OH 43220-4280 |
Second Address | Columbus, OH 43222-1515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 28/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000000000014731 | ANTHEM BC/BS (01) | |
060005424 | RAILROAD MEDICARE (01) | OH |
0657927 | (05) | OH |
1927 | NATIONWDIE (01) | |
1953343 | CIGNA (01) | |
2500095 | UNITED HEALTHCARE OF OHIO (01) | |
289254 | BLACK LUNG (01) | |
366278 | MEDIGAP (01) | |
E54278 | (02) |