John C Fetzer, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME48794 Issued in FL

Practice address

2191 E Johnson Ave
Pensacola, FL 32514-6029

Phone

(850) 494-3917

Fax

(850) 494-3960

NPI assigned

Sep 14, 2005

Sex

Male

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)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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 and National Provider Directory roles.

• West Florida Behavioral Health Inc

  • Geriatric Psychiatry Physician
  • Pensacola, FL
  • NPI 1457336604
  NPD (past)
• West Florida Medical Center Clinic, PA

  dba Medical Center Clinic

  • Multi-Specialty Clinic/Center
  • Pensacola, FL
  • NPI 1568452688
  NPD (past)
• West Florida Regional Medical Center

  dba Memory Disorder Clinic

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1174578579
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1801881040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146029",
            "telephone_number": "850-494-3917",
            "fax_number": "850-494-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146029",
            "telephone_number": "850-494-3917",
            "fax_number": "850-494-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETZER",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME48794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044224100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Bruce Ferrara, MD
• Jayne Elizabeth Ferreira
• Nicole Chase Ferreira, FNP-C
• Alyssa Ferrer
• Michelle Lucero Ferrera, MSPT
• Debra Ann Fickling, FNP-C
• David Kenneth Fiedler, M.D.
• Brittany C Fields
• Lori A Fields, APRN
• Shabonquel Shantell Figgers, COTA

• Psychiatry Physician in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.