John H H Fisher
A.V. MERIDIEN MEDICAL GROUP, INC


Address: 1007 W Ave, M14 Suite B 1, Palmdale, CA 93551-1443
Phone: 6612657019

John H H Fisher (NPI# 1699777334, PAC ID# 5193633139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.

Physician Overview

Nation Provider ID (NPI) 1699777334
PAC ID by PECOS 5193633139
Professional Enrollment ID I20110110000919
Full Name John H H Fisher
Organization Legal Name A.V. MERIDIEN MEDICAL GROUP, INC
Address 1007 W Ave
M14 Suite B 1
Palmdale
CA 93551-1443
Phone Number 6612657019
Gender M
Graduation Year 1981
Primary Specialty NEPHROLOGY
Group Practice PAC ID 3678762499
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050056 ANTELOPE VALLEY HOSPITAL
050204 PALMDALE REGIONAL MEDICAL CENTER
051333 RIDGECREST REGIONAL HOSPITAL

Other Locations

Address Phone Organization
1007 W Ave, M14 Suite B 1, Palmdale, CA 93551-1443 6612657019 A.V. MERIDIEN MEDICAL GROUP, INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %

Organization Information

Organization Legal Name A.V. MERIDIEN MEDICAL GROUP, INC
Physicians 1

Office Location

Street Address 1007 W AVE
M14 SUITE B 1
City PALMDALE
State CA
Zip 93551-1443

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Competitor

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City PALMDALE
Zip Code 93551
Specialty NEPHROLOGY
City + Specialty PALMDALE + NEPHROLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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