NPI 1114213451 · live from the CMS NPI Registry
Tyler J Fisher, M.D.
Pediatrics, Pediatric Emergency Medicine in Des Moines, IA. National Provider Identifier 1114213451, active.
NPI record
| NPI | 1114213451 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Emergency Medicine 2080P0204X |
| Practice location | 1200 Pleasant St, Des Moines, IA 50309 |
| Practice phone | 515-241-6611 |
| Enumerated | June 24, 2011 |
| Last updated | October 5, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 2014008797 (MO) |
| Pediatrics, Pediatric Emergency Medicine | 2080P0204X | 04-40003 (KS) |
| Pediatrics, Pediatric Emergency Medicine primary | 2080P0204X | MD-47856 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.