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

Timothy Fetterman, MD

Individual provider Family Medicine Physician · NPI 1427035583

Timothy Fetterman, MD is a Family Practice in Cleveland, Ohio. Graduated from Wright State University Boonshoft School of Medicine in 1995, 31 years ago. Practices with Southwest General Medical Group Inc, a 235-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
OH
In the registry since
2005
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

18780 Bagley Rd Ste 104
Cleveland, OH 44130-3304
Phone: (440) 816-5950
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27076 Bagley Road, Olmsted Township, OH 44138 — (440) 816-8380

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35-071569 (OH)

Record details

NPI number1427035583
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESJune 3, 2022
Certification dateMay 24, 2022
Mailing addressPo Box 638269, Cincinnati, OH 45263-6950

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Southwest General Medical Group Inc — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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