Active NPI
Allegheny Clinic
Doing business as Robert M. Fetchero, DO
- Family Medicine Physician
- Jeannette, PA
National Provider Identifier
1750818589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS006563L
- Legal business name
- ALLEGHENY CLINIC
- Doing business as
- Robert M. Fetchero, DO
- Practice address
- 620 Lowry Ave
Jeannette, PA 15644-2468 - Phone
- (724) 523-3210
- Fax
- (724) 523-9335
- NPI assigned
- May 11, 2017
- Last updated
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- April McDade
- Title
- Provider Enrollment Coordinator
- Phone
- (412) 330-5859
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS006563L | PA | Primary |
Addresses
Primary practice location
620 Lowry Ave
Jeannette, PA 15644-2468
Mailing address
620 Lowry Ave
Jeannette, PA 15644-2468
Phone (724) 523-3210
Other names 1
- Robert M. Fetchero, DO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000602 | PA | Part B Supplier - Clinic/Group Practice | 5395649586 |
Receives reassigned benefits from 3,418 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
620 Lowry Ave
Jeannette, PA 15644
Phone (724) 523-3210
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- West Mifflin, PA
- NPI 1992796700
-
- Obstetrics & Gynecology Physician
- Pittsburgh, PA
- NPI 1053384628
-
- Cardiovascular Disease Physician
- Blawnox, PA
- NPI 1396709069
-
- Advanced Practice Midwife
- Clairton, PA
- NPI 1982959458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1750818589",
"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",
"fax_number": "724-523-9335"
},
{
"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",
"fax_number": "724-523-9335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLEGHENY CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "MCDADE",
"authorized_official_first_name": "APRIL",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT COORDINATOR",
"authorized_official_telephone_number": "412-330-5859"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS006563L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Robert M. Fetchero, DO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Jeannette, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.