Theodore W Fetter (NPI# 1740213891, PAC ID# 2163615055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1740213891 |
| PAC ID by PECOS | 2163615055 |
| Professional Enrollment ID | I20101025000088 |
| Full Name | Theodore W Fetter |
| Address |
201 Park St Se Vienna VA 22180-4644 |
| Phone Number | 7033561465 |
| Gender | M |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1971 |
| Primary Specialty | OTOLARYNGOLOGY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 201 Park St Se, Vienna, VA 22180-4644 | 7033561465 |
| Street Address |
201 PARK ST SE |
| City | VIENNA |
| State | VA |
| Zip | 22180-4644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Sileo | Internal Medicine | 201 Park St Se, Vienna, VA 22180-4661 | |
| Myron Shoham | Gastroenterology | Privia Medical Group,llc | 201 Park St Se, Vienna, VA 22180-4644 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Cassella | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| Sahar Moghadam Emami | Optometry | Vienna Optometry, LLC | 401 Maple Ave W, Vienna, VA 22180-4222 |
| John F Dobricky | Clinical Social Worker | 513 Maple Ave W, Second Floor, Vienna, VA 22180-4229 | |
| Brandon R Lemuel | Chiropractic | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 | |
| Hazem A Elariny | General Surgery | 301 Maple Ave W, Suite 330, Vienna, VA 22180-4301 | |
| Seddigheh A Feisee | Internal Medicine | 301 Maple Ave W, Suite 420, Vienna, VA 22180-4301 | |
| Peter J Mcgarry | Chiropractic | Dr Brandon R Lemuel Dc PC | 301 Maple Ave W, Suite 515, Vienna, VA 22180-4301 |
| Mary J Bozzelli | Nurse Practitioner | Endocrine and Diabetes Center P.C. | 301 Maple Ave West, Vienna, VA 22180-4303 |
| Edward G Movius | Internal Medicine | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Ali M Safa | Endocrinology | Endocrine and Diabetes Center P.C. | 301 Maple Ave W, Suite 120, Vienna, VA 22180-4303 |
| Find all physicians in zip 22180 | |||
| City | VIENNA |
| Zip Code | 22180 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | VIENNA + OTOLARYNGOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.