Craig M Fetterman (NPI# 1902868383, PAC ID# 3577535996) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1902868383 |
| PAC ID by PECOS | 3577535996 |
| Professional Enrollment ID | I20040806000947 |
| Full Name | Craig M Fetterman |
| Organization Legal Name | BUFFALO-NIAGARA HOSPITALISTS LLC |
| Address |
2950 Elmwood Ave Kenmore NY 14217-1304 |
| Phone Number | 7164476100 |
| Gender | M |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3375789050 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330102 | KENMORE MERCY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2950 Elmwood Ave, Kenmore, NY 14217-1304 | 7164476100 | BUFFALO-NIAGARA HOSPITALISTS LLC |
| Organization Legal Name | BUFFALO-NIAGARA HOSPITALISTS LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frederick L Morey | Internal Medicine | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Eric J Koch | Internal Medicine | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Kathryn Marie Wirth | Physician Assistant | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Stephen A Griggs | Nurse Practitioner | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Kristin Williamson | Physician Assistant | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Amanda Whitehead | Nurse Practitioner | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| My Lan Ngoc Le | Nurse Practitioner | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Nicole Lee Faulkner | Nurse Practitioner | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Ryan W Weber | Family Medicine | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Matthew J Missert | Internal Medicine | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Street Address |
2950 ELMWOOD AVE |
| City | KENMORE |
| State | NY |
| Zip | 14217-1304 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth S Smerka | Physician Assistant | Kenmore Mercy Hospital | 2950 Elmwood Ave, Suite 2034, Kenmore, NY 14217-1304 |
| Young T Zhou | Pathology | Eastern Great Lakes Pathology PC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| James E Peppriell | Anesthesiology | Anesthesia Consultant Associates | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Sateesh K Satchidanand | Pathology | Eastern Great Lakes Pathology PC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Breanne F Jeffrey | Physician Assistant | Mercy Hospital of Buffalo | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Nora E Verity | Nurse Practitioner | Kenmore Mercy Hospital | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Frederick L Morey | Internal Medicine | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Eric J Koch | Internal Medicine | Buffalo-niagara Hospitalists LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Jeffrey B Frost | Infectious Disease | Internal Med Id Associates, LLC | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Stephanie Ann Wodowski | Emergency Medicine | Buffalo Emergency Associates LLP | 2950 Elmwood Ave, Kenmore, NY 14217-1304 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashvani K Gulati | Ophthalmology | 3750 Delaware Ave, Kenmore, NY 14217-1002 | |
| Elspeth S Call Lukasik | Obstetrics/gynecology | Bartels,powalski and Weissman, Mds,pc | 3834 Delaware Ave, Kenmore, NY 14217-1039 |
| George A Haddad | Internal Medicine | 3800 Delware Ave, Suite 100, Kenmore, NY 14217-1094 | |
| Alan Antfleck | Internal Medicine | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 | |
| Diane J Sutter | Obstetrics/gynecology | Diane J Sutter Md Pllc | 3800 Delaware Ave, Suite 102, Kenmore, NY 14217-1094 |
| Julie A Gavin | Obstetrics/gynecology | 3800 Delaware Ave, Suite 108, Kenmore, NY 14217-1094 | |
| Robert Fugitt | Urology | Robert G Fugitt, Md and David B Lillie, Md, PC | 3800 Delaware Ave, Suite 104, Kenmore, NY 14217-1094 |
| Christopher Dressel | Chiropractic | 3679 Delaware Ave, Buffalo, NY 14217-1113 | |
| Susan Baldassari | Internal Medicine | 3673 Delaware Ave, Kenmore, NY 14217-1113 | |
| Keryn E Gauch | Physician Assistant | Daniel I Rifkin, Md, PC | 1491 Sheridan Dr, Kenmore, NY 14217-1234 |
| Find all physicians in zip 14217 | |||
| City | KENMORE |
| Zip Code | 14217 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | KENMORE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Craig M Fetterman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.