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JOHN EDGAR FETTER NPI 1659303287


NPI Information

NPI: 1659303287
Provider Name: JOHN EDGAR FETTER
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

Address:
6565 FANNIN ST
SUITE B452
HOUSTON, TX
ZIP 77030
Phone: (713) 441-3620
Get Directions

John Edgar Fetter is a surgical critical care surgery in Houston, TX. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. John Edgar Fetter NPI is 1659303287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6565 FANNIN ST
SUITE B452
HOUSTON, TX
ZIP 77030-703
Phone: (713) 441-3620
Fax: (713) 790-2082

The enumeration date for this NPI number is 7/6/2006 and was last updated on 2/15/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease56823TENNESSEENo
2208600000XSurgeryN3028TEXASNo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)41164MINNESOTANo
4208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)N3028TEXASNo
52086S0102XSurgerySurgical Critical CareN3028TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18DY860OTHERTEXASBLUE CROSS BLUE SHIELD
2203934903MEDICAIDTEXAS
3P01030486OTHERTEXASRR MEDICARE
4203934901MEDICAIDTEXAS
58W4777OTHERTEXASBLUE CROSS BLUE SHIELD
6$$$$$$$$$MEDICAIDNEBRASKA
7P00759962OTHERTEXASMEDICARE RAILROAD
8P01254102OTHERTEXASMEDICARE RR
9203934902MEDICAIDTEXAS
10202518300MEDICAIDMINNESOTA
1132494500MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.