Gary J Petty in Barboursville - Family Medicine
Gary J Petty - NPI 1942279013
Gary J Petty is a Family Medicine in Barboursville, . Gary J Petty practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Gary J Petty is 1942279013. The last update date is 2022-01-14.
Gary J Petty's current location address is 659 Central Ave, Barboursville, . You can contact this provider via phone number 3047365247 and fax number 3047367367. The mailing address for Gary J Petty is 659 Central Ave, Barboursville, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary J Petty |
|---|---|
| Address | 659 Central Ave, Barboursville, |
| Phone Number | 3047365247 |
| Fax Number | 3047367367 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942279013 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 659 Central Ave |
|---|---|
| City | Barboursville |
| State | (WV) |
| Post Code | 25504 |
| Phone Number | 3047365247 |
| Fax Number | 3047367367 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35-07-5727 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1804764000 | OH | -- | |
| 699790 | OH | ANTHEM | |
| P00693880 | OH | RRMCR | |
| 593893 | OH | ANTHEM | |
| 2255250 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gary J Petty?
The Gary J Petty has been issued the NPI (National Provider Identifier) 1942279013 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Gary J Petty?
The Gary J Petty is physically situated at 659 Central Ave, in the city of Barboursville, state of WV, with the postal code 25504.
What is Gary J Petty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gary J Petty is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Gary J Petty receive its 1942279013?
The Gary J Petty was issued its 1942279013 on 2006-03-14, which is the date when the organization was assigned this unique identifier.
When was the information regarding Gary J Petty, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary J Petty, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-01-14.