Provider Demographics
NPI:1164563011
Name:DONALD L. FISHER M.D. INC.
Entity Type:Organization
Organization Name:DONALD L. FISHER M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:FISHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-753-6326
Mailing Address - Street 1:165 5TH ST SE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-9001
Mailing Address - Country:US
Mailing Address - Phone:330-753-6326
Mailing Address - Fax:330-753-6974
Practice Address - Street 1:165 5TH ST SE
Practice Address - Street 2:STE A
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-9001
Practice Address - Country:US
Practice Address - Phone:330-753-6326
Practice Address - Fax:330-753-6974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2257418Medicaid
OH2257418Medicaid