Mark D Fetter MD PC

Mark D Fetter MD PC is a healthcare organization registered as Orthopaedic Hand Surgery Physician in Prescott, AZ, holding Type 2 (organization) NPI 1124107206 since 2006. The authorized official on file is Mark Fetter, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1124107206
Entity type	Organization (Type 2)
Legal business name	Mark D Fetter MD PC
Practice address	1615 PETROGLYPH POINT DR, Prescott, AZ, 86301
Phone	4809851093
Enumeration date	2006-11-02
Last updated in NPPES	2007-10-10

Authorized official

Name	Mark Fetter
Title	President
Phone	4809851093

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
207XS0106X	Orthopaedic Hand Surgery Physician	Primary	—	—

Copy-ready billing details

Provider: Mark D Fetter MD PC
NPI: 1124107206
Taxonomy: 207XS0106X (Orthopaedic Hand Surgery Physician)
Address: 1615 PETROGLYPH POINT DR, Prescott, AZ, 86301

Providers at this address

NPI	Name	Type	Specialty	Location
1568427490	Mark Fetter	Individual	Specialist	Prescott, AZ
1447458591	Advanced Plastic Surgery Center, L.L.C.	Organization	Ambulatory Surgical Clinic/Center	Prescott, AZ
1932733565	Phoenix Anesthesia Specialists, LLC	Organization	Certified Registered Nurse Anesthetist	Prescott, AZ
1104604198	Mallaro Anesthesia LLC	Organization	Certified Registered Nurse Anesthetist	Prescott, AZ

Verify this record

Cross-check NPI 1124107206 against the authoritative CMS record: view Mark D Fetter MD PC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Mark D Fetter MD PC located?

The practice location on file with NPPES is in Prescott, AZ.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-10-10.