Dr. Eric Fethke
M.D. | Pediatric Cardiology | Male
Dr. Eric Fethke, M.D. is a Middletown, New York based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Dr. Eric Fethke is
212 Crystal Run Rd, Middletown, New York - 10941-4009. He can be contacted on phone at
845-703-7000 and fax number 845-703-0160.
Dr. Eric Fethke is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Eric Fethke is
1285600080 which was assigned by NPPES on 23 Feb, 2006 and it was last updated on 07 Feb, 2013.
Dr. Eric Fethke license number is
195450 for Pediatrics Pediatric Cardiology (2080P0202X) in New York.
Dr. Eric Fethke provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Dr. Eric Fethke basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Pediatric Cardiology |
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Provider Name : | Dr. Eric Fethke |
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Credential : | M.D. |
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Gender : | Male |
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Sole Proprietor : | Yes |
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Business Address:
Dr. Eric Fethke address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 212 Crystal Run Rd Middletown, NY, 10941-4009 United States |
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Phone Number : | 845-703-7000 |
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Fax Number : | 845-703-0160 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1285600080 |
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NPI Entity Type : | Individual |
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First Enrolment Date : | 23 Feb, 2006 |
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Last Updated On : | 07 Feb, 2013 |
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Medicare Participation:
Dr. Eric Fethke participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
Medicare PECOS ID : | 0547347858 |
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Medicare Enrollment ID : | I20080411000047 |
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Primary Specialty : | Cardiovascular Disease (cardiology) |
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Medical School : | Columbia University College Of Physicians And Surgeons |
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Graduation Year : | 1991 |
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Accepts Medicare? | Yes. Dr. Eric Fethke accepts medicare insurance. |
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Group Practice Association:
Dr. Eric Fethke is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Eric Fethke is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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Boston Children's Health Physicians Llp | 8325937014 | 61 | 707 E Main St Orange Regional Medical Center Middletown, NY - 109402650 Ph: 9144938558 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Eric Fethke are as mentioned. Primary taxonomy code for Dr. Eric Fethke, M.D. is
2080P0202X (Pediatrics Pediatric Cardiology).
Taxonomy Code | Speciality | Primary | License No. | State |
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2080P0202X | Pediatrics Pediatric Cardiology | Yes | 195450 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Eric Fethke such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
Identifier | Identifier Type | State | Issuer |
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01488665 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 212 Crystal Run Rd Middletown, NY, 10941-4009 United States |
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Phone Number : | 845-703-7000 |
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Fax Number : | 845-703-0160 |
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Business Location:
Patients can refer following map for directions to
Dr. Eric Fethke practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.