PAUL J FETTERLY (NPI# 1801895610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801895610 |
| Entity Type | Individual |
| Full Name | PAUL J FETTERLY |
| Credential | MD, FACOG |
| Practice Address |
1001 7th St Ne Devils Lake ND 58301-2719 |
| Mailing Address |
Po Box 1100 Devils Lake ND 58301-1100 |
| Practice Telephone | 7016622157 |
| Practice Fax Number | 7016624116 |
| Mailing Telephone | 7016622157 |
| Mailing Fax Number | 7016624116 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2014-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 7419 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 18821 | 05 |
| Street Address |
1001 7TH ST NE |
| City | DEVILS LAKE |
| State | ND |
| Zip Code | 58301-2719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108735 | Jodi L. Melander | Physician Assistant | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2005-07-14 |
| 1194206698 | Sadie Hefta | Physical Therapist | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2018-08-23 |
| 1134615180 | Megan Overby | Nurse Practitioner | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2018-07-02 |
| 1508217373 | Kirstie Syverson | Nurse Practitioner | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2016-06-23 |
| 1356720239 | Melvin Mathew Melathe | Family Medicine | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2015-05-25 |
| 1467868240 | Nicole Snyder | Pharmacist | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2014-07-01 |
| 1952699282 | Kelly Lynn Leiphon | Nurse Practitioner | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2011-07-20 |
| 1700175643 | Tobey Deann Schall | Nurse Practitioner | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2011-03-31 |
| 1871714808 | Candelaria Cynthia Martin Arndt | Family Medicine | 1001 7th St Ne, Devils Lake, ND 58301 | 2007-05-01 |
| 1578614632 | Diane M Ehrlich | Pharmacist | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187977 | Mark Christian Beatty | Social Worker | 1820 East Walnut Street, Suite 5, Devils Lake, ND 58301 | 2020-06-01 |
| 1841837663 | Wayne Rance | Pharmacist | 323 5th St Ne Ste 2, Devils Lake, ND 58301 | 2019-12-01 |
| 1639427792 | Donna Rance | Pharmacist | Bell Pharmacy 323 5th St Ne, Suite #2, Devils Lake, ND 58301 | 2012-08-21 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1245534668 | Altru Specialty Services, Inc. | Durable Medical Equipment & Medical Supplies | 223 4th Avenue Northeast, Suite B, Devils Lake, ND 58301 | 2010-12-28 |
| 1780830208 | Steven L Pederson | Physical Therapist | 404 Fourth Street N, Devils Lake, ND 58301 | 2008-08-15 |
| 1437368768 | Leatha N Vaagen | Physical Therapist | 404 Fourth Street North, Devils Lake, ND 58301 | 2007-05-22 |
| 1770634479 | Becky Fletschock | Pharmacist | Clinic Pharmacy, 1001 7th St Ne, Devils Lake, ND 58301 | 2007-01-16 |
| 1518047570 | The Evangelical Lutheran Good Samaritan Society | Custodial Care Facility | 302 7th Ave, Devils Lake, ND 58301 | 2006-10-16 |
| 1679591929 | Emergency Ambulance of Devils Lake | Ambulance | 314 2nd Ave Se, Devils Lake, ND 58301 | 2006-07-17 |
| Find all providers in zip 58301 | ||||
| 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 |
|---|---|---|---|---|
| 1134578537 | Nicole Samson | Family Medicine | 1001 7th Street Ne - Altru Clinic/devils Lake, Devils Lake, ND 58301-2719 | 2016-06-07 |
| 1356603997 | Stephanie Ann Foughty | Family Medicine | 1001 7th St Ne Altru Clinic/devlis Lake, Devils Lake, ND 58301 | 2012-06-11 |
| 1144510389 | Elson Tan Lim | Family Medicine | 1031 5th Street, Devils Lake, ND 58208-3780 | 2011-04-08 |
| 1003837964 | Rita Nalubega | Family Medicine | 503 3rd St Ne, Devils Lake, ND 58301-3015 | 2006-07-23 |
| 1265431076 | Douglas L. Greves | Family Medicine | 1001 7th Street Ne, Devils Lake, ND 58301-1100 | 2005-07-14 |
| 1366965170 | The Sunshine Clinic Pllc | Family Medicine | 503 3rd St Ne, Devils Lake, ND 58301-3015 | 2017-07-24 |
| 1356720239 | Melvin Mathew Melathe | Family Medicine | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2015-05-25 |
| 1871714808 | Candelaria Cynthia Martin Arndt | Family Medicine | 1001 7th St Ne, Devils Lake, ND 58301 | 2007-05-01 |
| 1841390762 | Derek C Wayman | Family Medicine | 1001 7th Street Ne, Devils Lake, ND 58301-1100 | 2006-09-22 |
| 1609876127 | Heidi M Bittner | Family Medicine | 1001 7th St Ne, Devils Lake, ND 58301-2719 | 2005-07-27 |
| Find all providers in DEVILS LAKE | ||||
| City | DEVILS LAKE |
| Zip Code | 58301 |
Please comment or provide details below to improve the information on PAUL J FETTERLY.
| 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.