MARK D FETTER MD PC
NPI 1124107206
Orthopaedic Surgery - Hand Surgery in Prescott, AZ

Active since November 02, 2006
1615 PETROGLYPH POINT DR, PRESCOTT, AZ 86301(480) 985-1093 Get Directions Write a Review

NPPES record last updated: October 10, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Orthopaedic Surgery
  • Hand Surgery

About MARK D FETTER MD PC

This page provides the complete NPI Profile along with additional information for Mark D Fetter Md Pc, a provider established in Prescott, Arizona operating as a Orthopaedic Surgery, focusing in hand surgery . The healthcare provider is registered in the NPI registry with number 1124107206 assigned on November 2006. The practitioner's primary taxonomy code is 207XS0106X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Mark D Fetter Md (President)

NPI
1124107206 Verify this NPI
Provider Name
MARK D FETTER MD PC
Entity Type
Organization
Location Address
1615 PETROGLYPH POINT DR PRESCOTT, AZ 86301
Location Phone
(480) 985-1093
Mailing Address
1615 PETROGLYPH POINT DR PRESCOTT, AZ 86301
Mailing Phone
(480) 985-1093
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2006
Last Update Date
10-10-2007
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthopaedic Surgery Hand Surgery

Taxonomy Code
207XS0106X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK D FETTER MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(480) 985-1093

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
Z65850MEDICARE PIN (08)AZ 

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Specialist
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Nurse Anesthetist, Certified Registered
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301
Nurse Anesthetist, Certified Registered
1615 PETROGLYPH POINT DR
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124107206, enumerated as an "organization" on November 02, 2006.

The provider is located at 1615 PETROGLYPH POINT DR PRESCOTT, AZ 86301 and the phone number is (480) 985-1093.

Orthopaedic Surgery with taxonomy code 207XS0106X and a focus in Hand Surgery.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.