Lyle E. Fisher Jr.
MD | Pediatric Critical Care Medicine | Male
Lyle E. Fisher Jr., MD is a Augusta, Georgia based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Lyle E. Fisher Jr. is
1120 15th St, Augusta, Georgia - 30912-0004. He can be contacted on phone at
706-721-4402 and fax number 706-721-7872.
Lyle E. Fisher Jr. is a sole proprietor of his business.
NPI number (Unique professional ID) for Lyle E. Fisher Jr. is
1518077072 which was assigned by NPPES on 30 Aug, 2006 and it was last updated on 05 Aug, 2013.
Lyle E. Fisher Jr. license number is
034337 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Georgia.
Lyle E. Fisher Jr. is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Lyle E. Fisher Jr. basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Lyle E. Fisher Jr. |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Lyle E. Fisher Jr. address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1120 15th St
Augusta, GA, 30912-0004
United States |
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| Phone Number : | 706-721-4402 |
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| Fax Number : | 706-721-7872 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1518077072 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 30 Aug, 2006 |
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| Last Updated On : | 05 Aug, 2013 |
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Medicare Participation:
Lyle E. Fisher Jr. participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 5597829655 |
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| Medicare Enrollment ID : | I20090204000432 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | West Virginia University School Of Medicine |
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| Graduation Year : | 1988 |
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| Accepts Medicare? | Yes. Lyle E. Fisher Jr. accepts medicare insurance. |
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Group Practice Association:
Lyle E. Fisher Jr. is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Lyle E. Fisher Jr. is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Au Medical Associates Inc | 9931013513 | 577 | 1120 15th St
Augusta, GA - 309120004
Ph: 7067216029 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lyle E. Fisher Jr. are as mentioned. Primary taxonomy code for Lyle E. Fisher Jr., MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 034337 | GA |
Legacy Identifiers:
Other legacy medical identifiers of Lyle E. Fisher Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 000558214C | MEDICAID | GA | |
| G34337 | MEDICAID | SC | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1499 Walton Way, Ste 1400
Augusta, GA, 30901-2602
United States |
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| Phone Number : | 706-828-6410 |
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Business Location:
Patients can refer following map for directions to
Lyle E. Fisher Jr. practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.