Organization Active NPI

Allegheny Clinic

Doing business as Robert M. Fetchero, DO

  • Family Medicine Physician
  • Jeannette, PA
National Provider Identifier
1750818589
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006563L Issued in PA
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.