George G Pettey in Springfield - Family Medicine
George G Pettey - NPI 1902814296
George G Pettey is a Family Medicine in Springfield, Missouri. George G Pettey practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for George G Pettey is 1902814296. The last update date is 2014-10-03.
George G Pettey's current location address is 3231 S National Ave, Springfield, Missouri. You can contact this provider via phone number 4178850830 and fax number 4178885608. The mailing address for George G Pettey is 3231 S National Ave, Springfield, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George G Pettey |
|---|---|
| Address | 3231 S National Ave, Springfield, Missouri |
| Phone Number | 4178850830 |
| Fax Number | 4178885608 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1902814296 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2014-10-03 |
Provider Mailing Address Detail
| Address | 3231 S National Ave |
|---|---|
| City | Springfield |
| State | Missouri (MO) |
| Post Code | 658077304 |
| Phone Number | 4178850830 |
| Fax Number | 4178885608 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 2003014205 |
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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 |
|---|---|---|---|
| 205512 | BCBS | ||
| P00453838 | RAILROAD MEDICARE | ||
| 200612604 | MO | -- | |
| 721981 | HEALTHLINK |
Post Comment/ Review Below
What is the unique identifier code issued to George G Pettey by the Centers for Medicare & Medicaid Services?
The George G Pettey has been assigned the NPI (National Provider Identifier) 1902814296. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of George G Pettey?
The George G Pettey is situated at 3231 S National Ave, in the city of Springfield, state of MO, with the zip code 658077304.
What is the George G Pettey's area of specialization and corresponding taxonomy classification?
The George G Pettey's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did George G Pettey receive its 1902814296 assignment?
The George G Pettey was assigned its 1902814296 on 2006-08-03, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding George G Pettey, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to George G Pettey, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-10-03.