Provider Demographics
NPI:1306844113
Name:FISCHER, MARY CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CATHERINE
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:CATHERINE
Other - Last Name:CONOWAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2 WISCONSIN CIR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7003
Mailing Address - Country:US
Mailing Address - Phone:301-215-7100
Mailing Address - Fax:301-215-4144
Practice Address - Street 1:2 WISCONSIN CIR STE 230
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7005
Practice Address - Country:US
Practice Address - Phone:301-215-7100
Practice Address - Fax:240-482-3070
Is Sole Proprietor?:No
Enumeration Date:2005-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK6848207W00000X
DCMD037804207W00000X
VA0101043421207W00000X
MDD0065483207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81Z074Medicare ID - Type Unspecified
TXH04715Medicare UPIN
TX039858801Medicaid
TX039858801OtherSUPERIOR HEALTH
TX742787908OtherPACIFICARE
TX180037947OtherRAILROAD MEDICARE
TX741916103LOtherHUMANA
TXH04715Medicare UPIN
TX81Z074OtherBLUE CROSS BLUE SHIELD