Dr. Robert M. Fetchero

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

OS006563L Issued in PA

Legal business name

DR. ROBERT M. FETCHERO

Practice address

620 Lowry Ave
Jeannette, PA 15644-2468

Phone

(724) 523-3210

NPI assigned

Sep 4, 2009

Last updated

Sep 4, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary Ann Gorinski

Title

Office Manager

Phone

(724) 523-3210

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1285967455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 LOWRY AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442468",
            "telephone_number": "724-523-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 LOWRY AVE",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156442468",
            "telephone_number": "724-523-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT M. FETCHERO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "GORINSKI",
        "authorized_official_first_name": "MARY ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "724-523-3210"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "PA",
            "license": "OS006563L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Divella, PA
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• Elizabeth Donohue, RN
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• Ashley Nicole Duncan, PT, DPT
• Clare M Duncan
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• Primary Care Clinic/Center in Jeannette, PA
• Providers in Jeannette, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.