DOUGLAS FISHER P.A.C.
NPI 1245235761
Physician Assistant - Medical in Southampton, NY

Active since June 21, 2005
117 HAMPTON RD, SOUTHAMPTON, NY 11968(631) 287-8600(631) 204-1585 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Douglas Fisher P.a.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS FISHER P.A.C. (NPI 1245235761) is an individual medical provider in Southampton, New York, licensed in New York (23-013281) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1245235761
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDOUGLAS FISHERCredential: P.A.C.
Location Address117 HAMPTON RDSouthampton, NY 11968-4923
Mailing AddressPo Box 273East Marion, NY 11939 · (631) 287-8600
Fax(631) 204-1585
Sole ProprietorNo
Enumeration DateJune 21, 2005
Last NPPES UpdateMarch 7, 2023
✔ NPI 1245235761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in NY · 23-013281✔ Licensed in RI · PA00256
117 HAMPTON RD, Southampton, NY 11968

Other Identifiers 1

Other30584RI · Blue Shield

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
117 HAMPTON RD
SOUTHAMPTON, NY 11968
Urology
117 HAMPTON RD
SOUTHAMPTON, NY 11968
Urology
117 HAMPTON RD
SOUTHAMPTON, NY 11968
Urology
117 HAMPTON RD
SOUTHAMPTON, NY 11968

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Fisher's NPI number?

The NPI number for Douglas Fisher is 1245235761. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Douglas Fisher located?

Douglas Fisher practices at 117 Hampton Rd, Southampton, NY 11968. The listed phone number is (631) 287-8600.

What is Douglas Fisher's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Douglas Fisher was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.