Physician Compare National (NPI:1871512590)

HEALTHCARE PROVIDER: MARC FISHER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871512590
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3971766544
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130708000664
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	FISHER
	Individual professional last name
Provider First Name	MARC
	Individual professional first name
Provider Middle Name	ALLEN
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GENERAL PRACTICE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GENERAL PRACTICE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1111 MEDICAL CTR BLVD
	Group Practice or individual's line 1 address
City	MARRERO
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	700723151
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5043475511
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y