Active NPIIndividual provider

Dr. Graeme D Fisher, MD

Radiology, Therapeutic Radiology in Mount Vernon, Illinois

NPI Number1659362929
Practice location
4117 Veterans Memorial Drive, Mount Vernon, IL 62864
Fax
—
Last updated
November 21, 2025

Graeme Donald Fisher is a Radiology, Therapeutic Radiology based in Mount Vernon, IL. Graeme Donald Fisher practices in Mount Vernon, IL and has the professional credentials of MD. The NPI Number for Graeme Donald Fisher is 1659362929 and holds a License No. 036-115830 (IL). The current practice location address for Graeme Donald Fisher is 4117 Veterans Memorial Drive, Mount Vernon, IL 62864 and can be reached out via phone at 618-241-7016.

Provider Profile Details

NPI Number
1659362929
Provider Name
Graeme Donald Fisher
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4117 Veterans Memorial Drive, Mount Vernon, IL 62864
Phone Number
618-241-7016
Primary Taxonomy
Radiology, Therapeutic Radiology · 2085R0203X
Sole Proprietor
No
Provider Enumeration Date
November 4, 2005
Last Update Date
November 21, 2025
Certification Date
November 21, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
4117 Veterans Memorial Drive
Mount Vernon, IL 62864
Zip
62864
Phone Number
618-241-7016
Mount Vernon, IL 62864Get directions →

Provider Business Mailing Address Details

Address
6 Sandy Ridge RD
Sterling, MA 01564-2362
City
Sterling
State
MA
Zip
01564-2362
Phone Number
978-422-9646

License Information

License Number (1)
036-115830
License State (1)
IL
Taxonomy (1)
Radiology, Therapeutic Radiology · 2085R0203X · Primary
License Number (2)
152515
License State (2)
MA
Taxonomy (2)
· 2085R0001X
License Number (3)
MD2025-0590
License State (3)
NM
Taxonomy (3)
· 2085R0001X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Graeme D Fisher, MD?

The NPI number of Dr. Graeme D Fisher, MD is 1659362929. It was assigned on November 4, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Graeme D Fisher, MD?

Dr. Graeme D Fisher, MD is registered under the primary taxonomy Radiology, Therapeutic Radiology (code 2085R0203X), licensed in IL under license number 036-115830.

Where does Dr. Graeme D Fisher, MD practice?

The practice location is 4117 Veterans Memorial Drive, Mount Vernon, IL 62864. The office can be reached at 618-241-7016 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659362929 directly on the NPPES registry website.

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