PAUL J. FETTERLY MD, FACOG – NPI #1801895610
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

PAUL FETTERLY is a physician located in DEVILS LAKE, ND. NPPES has assigned the NPI number 1801895610 to PAUL FETTERLY on July 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 12 years ago on Mar 21, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PAUL FETTERLY below.

NPI Profile for
PAUL J. FETTERLY

NPI Number
1801895610
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PAUL J. FETTERLY
Credentials
MD, FACOG
Primary location
1001 7TH ST NE
DEVILS LAKE, ND 58301-2719
Phone: (701) 662-2157 Fax: (701) 662-4116
Mailing address
PO BOX 1100
DEVILS LAKE, ND 58301-1100
Phone: (701) 662-2157 Fax: (701) 662-4116
Sole Proprietor
No
Updated
Identifiers

Identifiers for PAUL FETTERLY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDND18821
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
ND 7419

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.