{"npi":"1427035583","type":"NPI-1","status":"active","name":{"display":"Timothy Fetterman MD","other":[],"first":"TIMOTHY","last":"FETTERMAN","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"OH","license":"35-071569"}]},"addresses":[{"purpose":"LOCATION","street_1":"18780 BAGLEY RD STE 104","city":"CLEVELAND","state":"OH","postal_code":"441303304","country_code":"US","phone":"4408165950"},{"purpose":"MAILING","street_1":"PO BOX 638269","city":"CINCINNATI","state":"OH","postal_code":"452636950","country_code":"US","phone":"4408165950"}],"license":{"state":"OH","number":"35-071569"},"identifiers":[{"type_code":"01","label":"Other","value":"000000198967","state":"OH","issuer":"ANTHEM"},{"type_code":"01","label":"Other","value":"CG4860","state":"OH","issuer":"RAILROAD MEDICARE GROUP"},{"type_code":"01","label":"Other","value":"0105480","state":"OH","issuer":"UNITED HEALTH CARE"},{"type_code":"01","label":"Other","value":"0843940002","state":"OH","issuer":"DMERC"},{"type_code":"05","label":"Medicaid","value":"2238199","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"P00478745","state":"OH","issuer":"RAILROAD CARE"},{"type_code":"01","label":"Other","value":"0005168421","state":"OH","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"080176792","state":"OH","issuer":"RAILROAD MEDICARE PIN"},{"type_code":"01","label":"Other","value":"84779","state":"OH","issuer":"QUAL CHOICE"},{"type_code":"05","label":"Medicaid","value":"2001470","state":"OH","issuer":null},{"type_code":"01","label":"Other","value":"P00701420","state":"OH","issuer":"RAILROAD CARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080206000111","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"OH","pac_id":"9335222975"}]},"enumeration_date":"2005-12-29","last_updated":"2022-06-03","_meta":{"source":"NPPES","snapshot_date":"2022-06-03","doc_url":"https://findmynpi.com/api"}}