CRAIG M FETTERMAN (NPI# 1902868383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902868383 |
| Entity Type | Individual |
| Full Name | CRAIG M FETTERMAN |
| Credential | DO |
| Practice Address |
2950 Elmwood Ave Kenmore NY 14217-1304 |
| Mailing Address |
40 Main St Hamburg NY 14075-4948 |
| Practice Telephone | 7166348800 |
| Practice Fax Number | 7166348987 |
| Mailing Telephone | 7166490887 |
| Mailing Fax Number | 7166464611 |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2019-02-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 230757 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 230757-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | UNIVERA | 0026827302 | 01 |
| NY | 02533062 | 05 | |
| NY | BC/BS | 000527760001 | 01 |
| NY | FIDELIS | 041006000116 | 01 |
| NY | INDEPENDENT HEALTH | 0412489 | 01 |
| Street Address |
2950 ELMWOOD AVE |
| City | KENMORE |
| State | NY |
| Zip Code | 14217-1304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734066 | Victoria Paulsen | Anesthesiology | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-06-16 |
| 1659909752 | Kenmore Mercy Hospital | Internal Medicine | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2020-04-01 |
| 1962048793 | David Michael Armstrong | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-11-27 |
| 1790332443 | Theresa Lynn Jackson | Dietitian, Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2019-08-19 |
| 1174058549 | Great Lakes Locums LLC | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2017-04-24 |
| 1619424884 | Buffalo Niagara Hospitalist LLC | General Acute Care Hospital | 2950 Elmwood Ave, Kenmore, NY 14217 | 2016-09-06 |
| 1629525167 | Caitlin Elizabeth Ortiz | Nurse Practitioner | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2016-09-01 |
| 1255714762 | Krystal R Burns | Nurse Anesthetist, Certified Registered | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-07-01 |
| 1033591342 | Robert E Baker IIi | Physician Assistant | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-06-23 |
| 1295114601 | Jeffrey Olek | Pharmacist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2015-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316585201 | Emma Rae Rooney | Student in an Organized Health Care Education/Training Program | 2900 Delaware Ave., Kenmore, NY 14217 | 2019-12-11 |
| 1558801530 | Elizabeth Fazio | Local Education Agency (LEA) | 3767 Delaware Ava, Kenmore, NY 14217 | 2017-02-24 |
| 1477940393 | Laura Sabia | Case Manager/Care Coordinator | 2900 Deleware Avenue, Kenmore, NY 14217 | 2015-04-17 |
| 1770994881 | Kenmore Family Medicine | Family Medicine | 2914 Elmwood Avenue, Kenmore, NY 14217 | 2014-05-12 |
| 1144576265 | Elizabeth Anne Leiser | Nurse Practitioner | 274 W Girard Blvd, Kenmore, NY 14217 | 2012-07-26 |
| 1730442385 | Christopher Landeo | Case Manager/Care Coordinator | 2900 Delaware Avenue, Kenmore, NY 14217 | 2012-06-19 |
| 1013291095 | Sharon Karnyski | Physical Therapist | 2900 Delaware Avenu, Kenmore, NY 14217 | 2011-10-07 |
| 1164706784 | Joanne Karen Cascio | Registered Nurse | 3756 Delaware Avenue, Kenmore, NY 14217 | 2011-09-30 |
| 1467742692 | Nicole Anne Perrotta | Occupational Therapy Assistant | 3767 Delaware Avenue, Kenmore, NY 14217 | 2011-04-08 |
| 1538466511 | Diane J. Sutter, M.d., LLC | Obstetrics & Gynecology | 3800 Delaware Avenue, Suite 102, Kenmore, NY 14217 | 2011-02-28 |
| Find all providers in zip 14217 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174058549 | Great Lakes Locums LLC | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2017-04-24 |
| 1871830208 | Buffalo-niagara Hospitalists LLC | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2013-01-04 |
| 1225204415 | Buffalo Internal Medicine, Pllc | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2008-05-07 |
| 1639201858 | David J. Serra, M.d., P.C. | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2007-03-12 |
| 1285779751 | Craig M. Fetterman, D.o.,p.c. | Hospitalist | 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295274454 | Nisar Alvi M.d. P.C. | Hospitalist | 2613 Pinebluff Dr, Vestal, NY 13850-2909 | 2017-02-20 |
| 1194172171 | Milna Rose Rufin | Hospitalist | 550 First Avenue, Nyu Langone Medical Center, New York, NY 10016 | 2016-05-19 |
| 1831553809 | Fatima Chaudhri | Hospitalist | 1st Avenue At E16th Street, New York, NY 10003-2925 | 2016-04-06 |
| 1174986228 | Niyati Ajit Bhagwat | Hospitalist | Nyu Winthrop Hospital, 259 1st Street, Mineola, NY 11501 | 2016-04-05 |
| 1902269806 | Lindsey Fox | Hospitalist | 1111 Amsterdam Ave Dept Of, New York, NY 10025-1716 | 2016-03-30 |
| 1538520440 | Myung Sun Choi | Hospitalist | 1425 Portland Ave Ste 204, Rochester, NY 14621-3011 | 2016-03-19 |
| 1992177711 | Saroj Sapkota | Hospitalist | 11111 Liberty Ave, South Richmond Hill, NY 11419-1811 | 2015-10-21 |
| 1255715116 | Shorabh Sharma | Hospitalist | 4422 Third Ave Mills Building, Department of Internal Medicine, Bronx, NY 10457 | 2015-07-10 |
| 1689051740 | John Richard Shultz | Hospitalist | 43 New Scotland Ave # Mc23, Albany, NY 12208 | 2015-04-28 |
| 1659787653 | Symphony Medical PC | Hospitalist | 27 S Washington Ave, Dobbs Ferry, NY 10522-1806 | 2014-07-10 |
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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.