Jonathan Donald Fisher, DPM
Jonathan Donald Fisher, DPM is a Podiatry in Ponderay, Idaho. Qualified in 2004, 22 years ago. Practices with Michael R Dibenedetto MD PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 22
- Licensed in
- ID
- In the registry since
- 2008
What do these letters mean?
- DPM — Doctor of Podiatric Medicine
- A foot and ankle physician and surgeon.
Practice location Address checks out
30544 Highway 200 Ste 102Ponderay, ID 83852-5005
Phone: (208) 265-9817
Fax: (208) 265-4533
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Foot & Ankle Surgery Podiatrist (primary) | Taxonomy 213ES0103X · Licence P-198 (ID) |
|---|
Record details
| NPI number | 1891969606 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DPM |
| Sole proprietor | No |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | June 23, 2021 |
| Certification date | June 23, 2021 |
Medicare enrollment
| Medicare specialty | PODIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Michael R Dibenedetto Md Pllc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |