Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chadwick Alden Fisher, PA

Individual provider Athletic Trainer · NPI 1497744338

Chadwick Alden Fisher, PA is a Physician Assistant in Boise, Idaho. Qualified in 2009, 17 years ago. Practices with Direct Orthopedic Care LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Idaho and Massachusetts.

Years since qualifying
17
Licensed in
ID, MA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6051 W Emerald St
Boise, ID 83704
Phone: (208) 302-5150
Fax: (208) 302-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-1592 (ID)
Athletic Trainer Taxonomy 2255A2300X · Licence 01567 (MA)
Physician Assistant Taxonomy 363A00000X · Licence PA3909 (MA)

Record details

NPI number1497744338
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 13, 2005
Last updated in NPPESMarch 29, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Direct Orthopedic Care Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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