JACK ELLIOTT FISHER DPM
NPI 1629072392
Podiatrist in Gilroy, CA

Q: What is Jack Fisher's NPI number?

The NPI number for Jack Fisher is 1629072392. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Jack Fisher's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Fisher was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 09, 2005

8O 5TH ST, GILROY, CA 95020(408) 842-0281(408) 848-4341 Get Directions Write a Review

NPPES record last updated: August 27, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Jack Elliott Fisher Dpm NPPES

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

JACK ELLIOTT FISHER DPM (NPI 1629072392) is an individual podiatrist in Gilroy, California, licensed in California (E1702) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1629072392

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameJACK ELLIOTT FISHERCredential: DPM

Location Address8O 5TH STGilroy, CA 95020-5748

Mailing Address8o 5th StGilroy, CA 95020-5748 · (408) 842-0281 · Fax (408) 848-4341

Phone(408) 842-0281

Fax(408) 848-4341

Sole ProprietorYes

Enumeration DateJune 9, 2005

Last NPPES UpdateAugust 27, 2014

✔ NPI 1629072392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in CA · E1702

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedPodiatrist · Foot SurgeryTaxonomy 213ES0131X · License E1702 (CA)

8O 5TH ST, Gilroy, CA 95020

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Other Identifiers 7

OtherE1702CA · Medical License

Medicare PIN000E17020CA

Other1780794644CA · Entity Npi

Medicare NSC0963550001CA

Other1629072392CA · Individual Npi

Medicare ID-Type UnspecifiedZZZ43829ZCA · Medicare Provider Id

Medicare UPINT11034CA

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 Jack Fisher's NPI number?

The NPI number for Jack Fisher is 1629072392. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Jack Fisher located?

Jack Fisher practices at 8O 5th St, Gilroy, CA 95020. The listed phone number is (408) 842-0281.

What is Jack Fisher's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for Jack Fisher was last updated on August 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.