William D Fetchik, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS-004632-L Issued in PA

Practice address

13 E 2ND St
Quarryville, PA 17566-1201

Phone

(717) 786-2272

Fax

(717) 786-8353

NPI assigned

Apr 4, 2006

Last updated

Jun 30, 2017By the provider in NPPES

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Pinnacle Health Regional Physicians

  • Internal Medicine Physician
  • Harrisburg, PA
  • NPI 1013441690

  Family Medicine

  Medicare reassignment NPD
• Pinnacle Health Regional Physicians

  dba Quarryville Family Medicine

  • Family Medicine Physician
  • Quarryville, PA
  • NPI 1881114080
  NPD
• Lancaster Hma Physician Management, LLC

  • Family Medicine Physician
  • Lancaster, PA
  • NPI 1932272341
  NPD (past)

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498780800000",
    "number": "1891757001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 SOUTH SECOND STREET",
            "address_2": "SUITE 2F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 E 2ND ST",
            "city": "QUARRYVILLE",
            "state": "PA",
            "postal_code": "175661201",
            "telephone_number": "717-786-2272",
            "fax_number": "717-786-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FETCHIK",
        "first_name": "WILLIAM",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2017-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS-004632-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0813577",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristopher Davis, DPT
• Kali Hannah Doyle, LAPC
• DRS Obrien and Robinson LLC
• Alicia Ehrhart, LAPC
• Courtney Enck, PTA
• Allene M Gagliano, M.D.
• Gary a Samberg DO
• Geensis
• George's Chiropractic Tonal Adjusting Center, Inc
• John M Grandizio, D.C.

• Family Medicine Physician in Quarryville, PA
• Providers in Quarryville, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.