TIMOTHY FETTERMAN (NPI# 1427035583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427035583 |
| Entity Type | Individual |
| Full Name | TIMOTHY FETTERMAN |
| Credential | MD |
| Practice Address |
18181 Pearl Rd Ste A206 Strongsville OH 44136-6950 |
| Practice Telephone | 4408165950 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2015-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35-071569 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD CARE | P00701420 | 01 |
| OH | 2001470 | 05 | |
| OH | QUAL CHOICE | 84779 | 01 |
| OH | ANTHEM | 000000198967 | 01 |
| OH | AETNA | 0005168421 | 01 |
| OH | UNITED HEALTH CARE | 0105480 | 01 |
| OH | DMERC | 0843940002 | 01 |
| OH | RAILROAD MEDICARE GROUP | CG4860 | 01 |
| OH | RAILROAD MEDICARE PIN | 080176792 | 01 |
| OH | 2238199 | 05 | |
| OH | RAILROAD CARE | P00478745 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809088 | Timothy Taylor Hobbes Fetterman | Nurse Anesthetist, Certified Registered | 701 Grove Rd, Greenville, SC 29605-4210 | 2020-04-07 |
| Street Address |
18181 PEARL RD STE A206 |
| City | STRONGSVILLE |
| State | OH |
| Zip Code | 44136-6950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848114 | Mary R Klein | Family Medicine | 18181 Pearl Rd Ste A206, Strongsville, OH 44136-6950 | 2005-08-11 |
| 1790003820 | Aaron J Wolkoff | Family Medicine | 18181 Pearl Rd Ste A206, Strongsville, OH 44136-6950 | 2010-05-13 |
| 1669431276 | Irena Kodz | Internal Medicine | 18181 Pearl Rd Ste A206, Strongsville, OH 44136-6950 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887688 | Elizabeth M Smutek | Homemaker | 16920 Deer Path Dr, Cleveland, OH 44136 | 2020-09-24 |
| 1528507332 | Ridge Park Urgent Care LLC | Clinic/Center | 16244 Pearl Road, Strongsville, OH 44136 | 2017-02-14 |
| 1871047126 | Ralph Rivera | Social Worker | 15251 Colebright Rd, Strongsville, OH 44136 | 2016-08-04 |
| 1598184392 | Kelly Nye Sutherland | Physical Therapist | 16761 South Park Center/ St30, Strongsville, OH 44136 | 2014-04-09 |
| 1427475383 | Shena Colburn | Physical Therapy Assistant | 19502 Pearl Road, Strongsville, OH 44136 | 2014-03-27 |
| 1851640445 | Dentkos Endodontics, LLC | Dentist | 16626 Pearl Rd, Strongsville, OH 44136 | 2012-08-29 |
| 1861777823 | Connie Agui | Registered Nurse | 19017 Turkey Meadow Lane, Strongsville, OH 44136 | 2011-10-20 |
| 1629376397 | America's Best Contacts & Eyeglasses | Technician/Technologist | 17260 Royalton Road, Strongsville, OH 44136 | 2011-03-04 |
| 1932432267 | Costco Wholesale Corporation | Pharmacy | 16690 Royalton Rd, Strongsville, OH 44136 | 2009-09-18 |
| 1003051715 | Francois Abi Fadel | Internal Medicine | Strongsville Family Health and Surgery Center, 16761 South Park Center, Strongsville, OH 44136 | 2008-12-09 |
| Find all providers in zip 44136 | ||||
| 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 |
|---|---|---|---|---|
| 1700160652 | Metro Health Medical Center | Family Medicine | 19460 Knowlton Pkwy, Apt # 205, Strongsville, OH 44149-9053 | 2011-10-10 |
| 1124149869 | Heather Mielke | Family Medicine | 18181 Pearl Rd Ste A104, Strongsville, OH 44136-6965 | 2007-04-02 |
| 1407983638 | University Primary Care Practices Inc | Family Medicine | 18181 Pearl Rd Ste A202, Strongsville, OH 44136-6950 | 2007-02-27 |
| 1871629386 | Kelly M Becker | Family Medicine | 18181 Pearl Rd Ste B202, Strongsville, OH 44136-6951 | 2007-02-26 |
| 1265526800 | David Daniel Stone | Family Medicine | 19640 W. 130th Street, Strongsville, OH 44136 | 2006-10-03 |
| 1306848114 | Mary R Klein | Family Medicine | 18181 Pearl Rd Ste A206, Strongsville, OH 44136-6950 | 2005-08-11 |
| 1285162206 | Beverly Diane Williams | Family Medicine | 16224 Pearl Rd, Strongsville, OH 44136-6038 | 2017-06-03 |
| 1619401593 | Christina Vincer | Family Medicine | 16761 Southpark Ctr, Strongsville, OH 44136-9302 | 2017-04-17 |
| 1275875734 | Scott H Owen | Family Medicine | 16761 Southpark Ctr, Strongsville, OH 44136-9302 | 2013-03-22 |
| 1861623613 | Continuum Care Consultants LLC | Family Medicine | 18627 Shurmer Rd, Strongsville, OH 44136-6150 | 2009-07-28 |
| Find all providers in STRONGSVILLE | ||||
| City | STRONGSVILLE |
| Zip Code | 44136 |
Please comment or provide details below to improve the information on TIMOTHY FETTERMAN.
| 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.