Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Douglas M Fetterman, MD

Individual provider Anesthesiology Physician · NPI 1043339971

Dr. Douglas M Fetterman, MD is an Anesthesiology in Syracuse, New York. Graduated from State University of New York at Buffalo School of Medicine in 2004, 22 years ago. Practices with St Joseph's Physician Health PC, a 124-clinician group and accepts Medicare assignment. Licensed in Michigan and New York.

Years since qualifying
22
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
MI, NY
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203
Phone: (315) 448-5440
Fax: (315) 472-5010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 251931-1 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence L-251931-1 (NY)
Anesthesiology Physician Taxonomy 207L00000X · Licence L 1229891 (MI)
Critical Care Medicine (Anesthesiology) Physician Taxonomy 207LC0200X · Licence 251931 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301085208 (MI)

Record details

NPI number1043339971
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 29, 2007
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice St Joseph'S Physician Health Pc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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