Organization Active NPI

Fetters Health and Wellness PC

  • Dermatology Physician
  • Fishers, IN
National Provider Identifier
1457331522
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01034557A Issued in IN
Legal business name
FETTERS HEALTH AND WELLNESS PC
Practice address
11201 USA Parkway
Suite 205
Fishers, IN 46038
Phone
(317) 913-8170
Fax
(317) 913-8184
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Carolyn Rose Dvorak
Title
Administrator
Phone
(317) 913-8170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X 01034557A IN Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 01034557A IN

Addresses

Primary practice location

11201 USA Parkway
Suite 205
Fishers, IN 46038

Mailing address

11201 USA Parkway
Suite 205
Fishers, IN 46038
Phone (317) 913-8170

National Provider Directory

National Provider Directory

Locations

11201 USA Pkwy
#205
Fishers, IN 46037
Phone 3149138170317

11201 USA Pkwy
Ste 205
Fishers, IN 46037
Phone (317) 913-8170

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1457331522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 USA PARKWAY",
            "address_2": "SUITE 205",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "317-913-8170",
            "fax_number": "317-913-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 USA PARKWAY",
            "address_2": "SUITE 205",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "46038",
            "telephone_number": "317-913-8170",
            "fax_number": "317-913-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FETTERS HEALTH AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DVORAK",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "317-913-8170",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01034557A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01034557A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishers, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.