1. Home
  2. Directory
  3. Florida
  4. Orange Park
  5. Otolaryngology
  6. NPI Profile

JOHN A FETCHERO JR D O P A
NPI 1457397499
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Orange Park, FL

Active since June 20, 2006
1542 KINGSLEY AVE STE 140, ORANGE PARK, FL 32073(904) 278-3820(904) 278-3849 Get Directions Write a Review

NPPES record last updated: September 30, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John A Fetchero Jr D O P A NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN A FETCHERO JR D O P A (NPI 1457397499) is a healthcare organization registered as an otolaryngology/facial plastic surgery in Orange Park, Florida and active in the NPI registry since June 2006. The organization lists John Anthony Fetchero, President, as its authorized official.

NPPES Registry Identity

NPI1457397499
Entity TypeOrganization
Primary Taxonomy207YX0905X
Legal Business NameJOHN A FETCHERO JR D O P A
Location Address1542 KINGSLEY AVE STE 140Orange Park, FL 32073-4547
Mailing Address2862 Country Club BlvdOrange Park, FL 32073-5728 · (904) 278-3820 · Fax (904) 278-3849
Phone(904) 278-3820
Fax(904) 278-3849
Organization SubpartNo
Authorized OfficialJohn Anthony FetcheroPresident · (904) 278-3820
Enumeration DateJune 20, 2006
Last NPPES UpdateSeptember 30, 2010
✔ NPI 1457397499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngology · Otolaryngology/Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YX0905X
Definition

An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

1542 KINGSLEY AVE STE 140, Orange Park, FL 32073
Open in Google Maps ↗

Other Identifiers 2

Medicaid048447400FL
Medicare PINDL670AFL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is JOHN A FETCHERO JR D O P A's NPI number?

The NPI number assigned to this healthcare provider is 1457397499, enumerated as an "organization" on June 20, 2006.

Where is the provider located?

The provider is located at 1542 KINGSLEY AVE STE 140 ORANGE PARK, FL 32073 and the phone number is (904) 278-3820.

What is the provider's specialty?

Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.

What insurance does JOHN A FETCHERO JR D O P A accept?

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