NPI age
18 years
Enumerated 2008-04-14
● Active
Type 1 · Individual
Jonathan Donald Fisher, DPM
Fisher is 1 of 1 podiatrist providers in Ponderay and 1 of 67 in Idaho.
Primary specialty
Podiatrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-06-23
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 67 active podiatrist providers in Idaho.
NPI age
18 years
↑ 4 yr above median (14 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
30544 Highway 200, Suite 102
Ponderay, ID 838525005
Mailing address
30544 Highway 200, Suite 102
Ponderay, ID 838525005
Specialties
-
Podiatrist PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | P2448 | BLUE CROSS |
| 05 (ID) | 808011000 | |
| 01 (ID) | 1100300 | MEDICARE |
| 01 (ID) | 000010167109 | REGENCE BLUE SHIELD |
| 01 (ID) | P00638389 | RAILROAD MEDICARE |
Practice context
Part of a multi-provider practice. 11 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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