CHRISTOPHER MICHAEL FETROW (NPI# 1205390242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205390242 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL FETROW |
| Credential | PA-C |
| Practice Address |
111 S Front St Harrisburg PA 17101-2010 |
| Mailing Address |
1410 Verdant Spring Ln Rockingham VA 22801-2281 |
| Practice Telephone | 7177823131 |
| Mailing Telephone | 7175852389 |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 S FRONT ST |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17101-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104551 | Donald Carl Durbeck | Internal Medicine | 111 S Front St, Harrisburg, PA 17101-2010 | 2005-06-20 |
| 1609474469 | Alexandra Maria Bachinsky | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-10-14 |
| 1578179248 | Katelynn Margaret Maronic | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-09-18 |
| 1124638937 | Jennifer Lynn Kane | Nurse Practitioner | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-08-06 |
| 1265050744 | Tyler Burns | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-10 |
| 1841818796 | Olivia Catherine Gross | Physician Assistant | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-07-08 |
| 1023635646 | Sushila Lynn Kabadi | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-30 |
| 1831716695 | Amanda Marie Agrela Pires | Podiatrist | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-28 |
| 1992320295 | Kimbery Dunn | Licensed Practical Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-11 |
| 1821613415 | Zachary Vasold | Registered Nurse | 111 S Front St, Harrisburg, PA 17101-2010 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689169906 | Seth Lascurain | Genetic Counselor, MS | 100 S. Second St., Suite 4b, Harrisburg, PA 17101 | 2018-06-28 |
| 1912347774 | Esther Chinedu Enu | Internal Medicine | 205 S. Front St, Harrisburg, PA 17101 | 2013-06-26 |
| 1881922599 | Abha Yadav | Pediatrics | Lpaharr Pinnacle Health-harrisbrg, Harrisbrg, PA 17101 | 2009-11-19 |
| 1467665158 | Kara Lynn Foulds | Pharmacist | 100-103 Market St, Harrisburg, PA 17101 | 2007-05-08 |
| 1588767339 | Pennsylvania Cvs Pharmacy LLC | Pharmacy | 221 223 E Market, Harrisburg, PA 17101 | 2006-09-07 |
| 1902853070 | Structural Disorders of The Spine | Chiropractor | 21 North 4th Street, Harrisburg, PA 17101 | 2006-05-27 |
| 1467415364 | Ndlovu Women's Health | Specialist | 100 South Second St, Medical Sciences Bldg Suite 4a, Harrisburg, PA 17101 | 2006-04-11 |
| 1710976899 | Michael Muench | Obstetrics & Gynecology | 100 S 2nd St Ste 4b, Harrisburg, PA 17101 | 2005-10-20 |
| 1053312371 | Linda Brooks Uchal | Pharmacist | 111 S. Front St., Pinnacle Health System, Harrisburg, PA 17101 | 2005-08-09 |
| 1487659355 | Elizabeth S. Klinke | Pediatrics | Harrisburg Hospital, Pediatrics Dept-nicu, 111 S Front St., Harrisburg, PA 17101 | 2005-06-16 |
| Find all providers in zip 17101 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487836763 | Pinnacle Health Medical Services | Physician Assistant | 4310 Londonderry Rd, Suite 202, Harrisburg, PA 17109-5300 | 2007-11-29 |
| 1427042092 | David L Black | Physician Assistant | 4310 Londonderry Rd, Suite 202, Harrisburg, PA 17109-5300 | 2005-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17101 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.