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

Dr. Jameson Moore Petrochko, MD

Individual provider Surgery Physician · NPI 1962026062

Dr. Jameson Moore Petrochko, MD is a Surgery Physician in Fountain Hill, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

701 Ostrum St Ste 202
Fountain Hill, PA 18015-1152
Phone: (484) 526-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT220236 (PA)

Record details

NPI number1962026062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2020
Last updated in NPPESJune 4, 2020
Certification dateJune 4, 2020

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