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

Q: What is John A Fetchero Jr D O P A's NPI number?

The NPI number for John A Fetchero Jr D O P A is 1457397499. It was assigned to this organization in the NPPES registry on June 20, 2006.

Q: What is John A Fetchero Jr D O P A's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

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: August 16, 2026.

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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

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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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John A Fetchero Jr D O P A's NPI number?

The NPI number for John A Fetchero Jr D O P A is 1457397499. It was assigned to this organization in the NPPES registry on June 20, 2006.

Where is John A Fetchero Jr D O P A located?

John A Fetchero Jr D O P A is located at 1542 Kingsley Ave Ste 140, Orange Park, FL 32073. The listed phone number is (904) 278-3820.

What is John A Fetchero Jr D O P A's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otolaryngology/Facial Plastic Surgery, with taxonomy code 207YX0905X.

When was this NPI record last updated?

The NPPES record for John A Fetchero Jr D O P A was last updated on September 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.