Dr Jonathan George Robert Samuel Fisher, MD is a
Plastic Surgery - Surgery Of The Hand physician based in Orinda, California. Dr Jonathan George Robert Samuel Fisher is licensed to practice in Florida (license number ME96746) and his current practice location is 85 Southwood Dr, Orinda, California. He can be reached at his office (for appointments etc.) via phone at
(925) 876-7936.
NPI number for Dr Jonathan George Robert Samuel Fisher is 1649476359 and his current mailing address is 85 Southwood Dr, Orinda, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649476359.
Physician's Profile
| Full Name | Dr Jonathan George Robert Samuel Fisher |
|---|
| Gender | Male |
|---|
| Speciality | Plastic Surgery - Surgery Of The Hand |
|---|
| Location | 85 Southwood Dr, Orinda, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1649476359
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jonathan George Robert Samuel Fisher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649476359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | A90665 (California) | Primary |
| 207Y00000X | Otolaryngology | ME 96746 (Florida) | Primary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | A90665 (California) | Primary |
| 207YP0228X | Otolaryngology - Pediatric Otolaryngology | ME 96746 (Florida) | Primary |
| 207YS0012X | Otolaryngology - Sleep Medicine | A90665 (California) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | A90665 (California) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | ME 96746 (Florida) | Primary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | A90665 (California) | Primary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | ME96746 (Florida) | Primary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | A90665 (California) | Primary |
| 207YX0602X | Otolaryngology - Otolaryngic Allergy | ME96746 (Florida) | Primary |
| 208200000X | Plastic Surgery | A90665 (California) | Primary |
| 208200000X | Plastic Surgery | ME96746 (Florida) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | A90665 (California) | Primary |
| 2082S0105X | Plastic Surgery - Surgery Of The Hand | ME96746 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jonathan George Robert Samuel Fisher is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jonathan George Robert Samuel Fisher, MD
85 Southwood Dr,
Orinda, CA 94563-3026
Ph: (925) 876-7936 | Dr Jonathan George Robert Samuel Fisher, MD
85 Southwood Dr,
Orinda, CA 94563-3026
Ph: (925) 876-7936 |
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