John Anthony Fetchero Iii (NPI# 1356753453, PAC ID# 9739308727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1356753453 |
| PAC ID by PECOS | 9739308727 |
| Professional Enrollment ID | I20190403001793 |
| Full Name | John Anthony Fetchero Iii |
| Organization Legal Name | PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC |
| Address |
805 Frontage Rd Kenai AK 99611-9104 |
| Phone Number | 9072833600 |
| Gender | M |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8426043894 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020024 | CENTRAL PENINSULA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 805 Frontage Rd, Kenai, AK 99611-9104 | 9072833600 | PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC |
| 230 E Marydale Ave, Soldotna, AK 99669-7648 | 9072607303 | PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Mclean | Physician Assistant | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Barbara Ann Ransom | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Jed M Rigby | Clinical Social Worker | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Maia S Danielson | Obstetrics/gynecology | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Margaret Westner | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Kelli Suzanne Landrum | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Michelle A Lesagonicz | Clinical Social Worker | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Jacqueline Omenitsch Scurlock | Clinical Social Worker | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Peter P Cannava | Psychologist, Clinical | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Jeffrey S Magee | Psychiatry | Peninsula Community Health Services of Alaska Inc | 230 E Marydale Ave, Soldotna, AK 99669-7648 |
| Street Address |
805 FRONTAGE RD |
| City | KENAI |
| State | AK |
| Zip | 99611-9104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Mclean | Physician Assistant | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Margaret Westner | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Kelli Suzanne Landrum | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Marguerite A Mcintosh | Family Medicine | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Carlos A. Valenzuela | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Cynthia H Kahn | Interventional Pain Management | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Sandra Sue Armstrong | Nurse Practitioner | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Jeffrey S Parker | Clinical Social Worker | Peninsula Community Health Services of Alaska Inc | 805 Frontage Rd, Kenai, AK 99611-9104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James V Zirul | Otolaryngology | 220 Spur View Dr, Kenai, AK 99611-6880 | |
| Christine M Babcock | Nurse Practitioner | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Michael Brandon Hall | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Allison J Smith | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Danal Sue Snyder | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Lorri Cherie Palm | Physician Assistant | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Kristen L Coletti Giesler | Nurse Practitioner | 508 S Willow St, Suite C, Kenai, AK 99611-6940 | |
| Joseph W Keith | Chiropractic | 135 Bidarka St B, Kenai, AK 99611-7741 | |
| Garret L Sitenga | Ophthalmology | 115 Bidarka St, Kenai, AK 99611-7741 | |
| Kenneth S Hahn | Family Medicine | 416 Frontage Rd, Suite 200, Kenai, AK 99611-7770 | |
| Find all physicians in zip 99611 | |||
| City | KENAI |
| Zip Code | 99611 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | KENAI + FAMILY MEDICINE |
Please comment or provide details below to improve the information on John Anthony Fetchero Iii.
| 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.