Jeffrey J Fisher (NPI# 1588669691, PAC ID# 0648225938) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588669691 |
| PAC ID by PECOS | 0648225938 |
| Professional Enrollment ID | I20050321000084 |
| Full Name | Jeffrey J Fisher |
| Organization Legal Name | CLINICAL PRACTICE SUPPORT SERVICES |
| Address |
5204 S State Hwy 360 Suite 400 Grand Prairie TX 75052-0947 |
| Phone Number | 9727551785 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0840245312 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450675 | MEDICAL CITY ARLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 | 9727551785 | CLINICAL PRACTICE SUPPORT SERVICES |
| 1811 Hwy 287 N, Suite 150, Mansfield, TX 76063-7595 | 8174733919 | CLINICAL PRACTICE SUPPORT SERVICES |
| Organization Legal Name | CLINICAL PRACTICE SUPPORT SERVICES |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Danielle Needham | Nurse Practitioner | Clinical Practice Support Services | 1811 Hwy 287 N, Suite 150, Mansfield, TX 76063-7595 |
| Amanda Etheridge | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Mary M Will | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Barbara Davis | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Grand Prairie, TX 75052-0947 |
| Street Address |
5204 S STATE HWY 360 SUITE 400 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip | 75052-0947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda Etheridge | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Mary M Will | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Barbara Davis | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Grand Prairie, TX 75052-0947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami Barton | Nurse Practitioner | Dfw Better Care Physicians, Pllc | 5204 S Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Nadia Takieddine | Internal Medicine | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Emily R Kerrigan | Physician Assistant | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Kendra M Knowles | Physician Assistant | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Paul Samuel Hackett | Colorectal Surgery (proctology) | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Amy Renee Lewis | Nurse Practitioner | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Mary A Weaver | Family Medicine | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| April N Campbell | Physician Assistant | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Gerald G George | Family Medicine | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Seth M Rubin | Physician Assistant | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Find all physicians in zip 75052 | |||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GRAND PRAIRIE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jeffrey J Fisher.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.