DR. CLIFFORD W FETTERS (NPI# 1174722946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174722946 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD W FETTERS |
| Credential | MD |
| Practice Address |
11900 N Pennsylvania St Ste 200 Carmel IN 46032-4694 |
| Practice Telephone | 3176637123 |
| Practice Fax Number | 3175870496 |
| Mailing Telephone | 3176637123 |
| Mailing Fax Number | 3175870496 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2009-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01034557A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000532027 | 01 |
| IN | 100332730 | 05 |
| Street Address |
11900 N PENNSYLVANIA ST STE 200 |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-4694 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316910607 | Stephen Roth Klapper | Ophthalmology | 11900 N Pennsylvania St, Suite 104, Carmel, IN 46032-4693 | 2006-02-08 |
| 1932569647 | Amanda Jo Patchett | Nurse Practitioner | 11900 N Pennsylvania St, Suite 200, Carmel, IN 46032-4693 | 2016-02-24 |
| 1477889285 | Personalized Healthcare of Carmel, LLC | Family Medicine | 11900 N Pennsylvania St, Suite 200, Carmel, IN 46032-4693 | 2009-10-29 |
| 1477786853 | Health and Wellness of Carmel, LLC | Family Medicine | 11900 N Pennsylvania St, Ste 200, Carmel, IN 46032-4694 | 2009-09-01 |
| 1598916645 | Fit Sports, LLC | Specialist | 11900 N Pennsylvania St, Carmel, IN 46032 | 2008-10-07 |
| 1083725790 | Mary J Tempel | Dermatology | 11900 N Pennsylvania St, #202, Carmel, IN 46032-4693 | 2006-08-31 |
| 1508975434 | Keeter D Sechrist | Dermatology | 11900 N Pennsylvania St, #202, Carmel, IN 46032-4693 | 2006-08-30 |
| 1841300506 | Brian J Williams | Dermatology | 11900 N Pennsylvania St, #202, Carmel, IN 46032-4693 | 2006-08-30 |
| 1124138821 | Kirsten M Turchan | Dermatology | 11900 N Pennsylvania St, 202, Carmel, IN 46032-4693 | 2006-08-30 |
| 1396712725 | Medical Scanning Consultants Pa | Radiology | 11900 N Pennsylvania St, Suite 100, Carmel, IN 46032-4693 | 2006-03-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836990 | Rachel Leigh Anderson | Family Medicine | 996 Bard Ln, Carmel, IN 46032-1072 | 2020-09-17 |
| 1770105801 | My Metabolism | Family Medicine | 14342 W Prevail Dr, Carmel, IN 46033-7004 | 2020-05-12 |
| 1609241306 | Everest Center for Mens Health Pllc | Family Medicine | 13528 Brentwood Ln, Carmel, IN 46033-9488 | 2015-12-07 |
| 1831469873 | Russell Evan Hoxie | Family Medicine | 193 San Remo Rd, Carmel, CA 93923-9764 | 2012-01-09 |
| 1760764245 | Home Physicians 2011,pc | Family Medicine | 11595 N Meridian St Ste 600, Carmel, IN 46032-6969 | 2011-09-12 |
| 1841507605 | John Edward Humiston | Family Medicine | 12265 Hancock St Ste 42, Carmel, IN 46032-5892 | 2010-08-31 |
| 1740509702 | Edgar Kourany | Family Medicine | 12940 Brighton Ln, Carmel, IN 46032 | 2010-05-28 |
| 1710121371 | Sarah Christine Lackermann | Family Medicine | 11725 N Illinois St Ste 595, Carmel, IN 46032-3011 | 2009-04-27 |
| 1508030289 | Bree Eiden Simmons | Family Medicine | 14455 Clay Terrace Blvd # B, Carmel, IN 46032-3605 | 2008-04-15 |
| 1528267044 | Hari Prasanna Chakravorty | Family Medicine | 166 Crane Rd, Carmel, NY 10512-4070 | 2007-07-14 |
| Find all providers in CARMEL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.