Dianne Alaia Fetchick, M.D.

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

G2961 Issued in TX

Practice address

13171 Misty Willow Dr
Houston, TX 77070-5635

Phone

(866) 693-4223

Fax

(888) 237-7954

NPI assigned

Oct 20, 2006

Last updated

Jan 31, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dcoa Physician Associates PA

  dba Diabetes America

  • Medical Specialty Clinic/Center
  • San Antonio, TX
  • NPI 1023282746

  Endocrinology, Diabetes & Metabolism

  NPD (past)
• M&S Radiology Associates, PA

  • Specialist
  • San Antonio, TX
  • NPI 1265423693
  NPD (past)
• Diabetes America Az LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Chandler, AZ
  • NPI 1992966998
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1770665465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7863 CALLAGHAN RD",
            "address_2": "SUITE 206",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292453",
            "telephone_number": "866-693-4223",
            "fax_number": "888-237-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13171 MISTY WILLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705635",
            "telephone_number": "866-693-4223",
            "fax_number": "888-237-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCHICK",
        "first_name": "DIANNE",
        "middle_name": "ALAIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "TX",
            "license": "G2961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099837901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandye Fertman
• Anji Montessa Fesler, LBSW
• Emily Pearl Fessler, PHD., LMFTS
• Festnikk Global LLC
• Johnson Festus
• Jordan Alyssa Fetgatter, MS, CCC-SLP
• Mehrdad Fetrat, MD
• Amanda Renee Fetter-Matthys, LPC
• John Edgar Fetter
• Logan Patrick Fettig

• Endocrinology, Diabetes & Metabolism Physician in Houston, TX
• Providers in Houston, TX by specialty
• Endocrinology, Diabetes & Metabolism Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.