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JEREMY GABRIEL FISHER MD NPI 1134363518


NPI Information

NPI: 1134363518
Provider Name: JEREMY GABRIEL FISHER, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
979 E 3RD ST STE 300
CHATTANOOGA, TN
ZIP 37403
Phone: (423) 267-0466
Get Directions

Jeremy Gabriel Fisher, MD is a pediatric surgery surgery in Chattanooga, TN. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Jeremy Gabriel Fisher, MD NPI is 1134363518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

979 E 3RD ST STE 300
CHATTANOOGA, TN
ZIP 37403-187
Phone: (423) 267-0466
Fax: (423) 778-5177

The NPI 1134363518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2009 and was last updated on 9/17/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0120XSurgeryPediatric Surgery35.128754OHIONo
22086S0120XSurgeryPediatric Surgery61514TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10292539MEDICAIDOHIO
2H635870OTHEROHIOCGS-MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.