JONATHAN DONALD FISHER DPM NPI 1891969606

NPI Information

  • NPI: 1891969606
  • Provider Name: JONATHAN DONALD FISHER, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 30544 HIGHWAY 200
    SUITE 102
    PONDERAY, ID
    ZIP 83852
  • Phone: (208) 265-9817

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NPI Details

Jonathan Donald Fisher, DPM is a foot and ankle surgery podiatrist in Ponderay, ID with 22 years of experience. Jonathan Donald Fisher, DPM NPI is 1891969606. 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:

30544 HIGHWAY 200
SUITE 102
PONDERAY, ID
ZIP 83852-005
Phone: (208) 265-9817
Fax: (208) 265-4533

The NPI 1891969606 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).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Application of vein wound compression bandages on lower leg, ankle, and foot (HCPCS:29581)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Reconstruction of soft tissue angular deformity of toe (HCPCS:28313)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Injection of anesthetic and/or steroid drug into foot nerve (HCPCS:64455)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of skin of fingernail or toenail (HCPCS:11765)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Aspiration and/or injection of fluid from small joint using ultrasound guidance (HCPCS:20604)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)
  • X-ray of heel, minimum of 2 views (HCPCS:73650)
  • Aspiration and/or injection of fluid from medium joint using ultrasound guidance (HCPCS:20606)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Harvest of graft from large bone (HCPCS:20902)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 4/14/2008 and was last updated on 6/23/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryP-198IDAHOYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000010167109OTHERIDAHOREGENCE BLUE SHIELD
2P00638389OTHERIDAHORAILROAD MEDICARE
31100300OTHERIDAHOMEDICARE
4808011000MEDICAIDIDAHO
5P2448OTHERIDAHOBLUE CROSS

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: 11/21/2025

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