Active NPI
John David Fetzer, DPM
- Foot Surgery Podiatrist
- Akron, OH
National Provider Identifier
1194712620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 36.002423
- Practice address
- 335 E Waterloo Rd
Akron, OH 44319-1218 - Phone
- (330) 724-8689
- Fax
- (330) 724-5470
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 36.002423 | OH | Primary |
Addresses
Primary practice location
335 E Waterloo Rd
Akron, OH 44319-1218
Mailing address
335 E Waterloo Rd
Akron, OH 44319-1218
Phone (330) 724-8689
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0537460001 | Other | MEDICARE NSC | |
| 0689974 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 E Waterloo Rd
Akron, OH 44319-1218
Phone (330) 724-8689
Merit-based Incentive Payment System (MIPS)
- Final score
- 13.47 of 100
- Quality
- 24.63
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 60 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 750 |
| Removal or shaving of skin growth | 116 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2423 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Ambulatory Foot Surgeons Inc | Foot Surgery | Current | Accepting new patients |
| Akron Podiatry Assoc. Inc | Foot Surgery | Past | Accepting new patients |
Locations
335 E Waterloo Rd
Akron, OH 44319
Phone (216) 724-8689
20 South Ave
Tallmadge, OH 44278
Phone (216) 630-9030
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/60151f1c-ed83-486a-b2ca-e2046f99f575/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1194712620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 E WATERLOO RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443191218",
"telephone_number": "330-724-8689",
"fax_number": "330-724-5470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 E WATERLOO RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443191218",
"telephone_number": "330-724-8689",
"fax_number": "330-724-5470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FETZER",
"first_name": "JOHN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-30",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "OH",
"license": "36.002423",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "0537460001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0689974",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.