William C Petty in Fort Wayne - Diagnostic Radiology
William C Petty - NPI 1073565008
William C Petty is a Diagnostic Radiology in Fort Wayne, Indiana. William C Petty practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for William C Petty is 1073565008. The last update date is 2007-07-08.
William C Petty's current location address is 3707 New Vision Dr, Fort Wayne, Indiana. You can contact this provider via phone number 2604719466. The mailing address for William C Petty is 3707 New Vision Dr, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William C Petty |
|---|---|
| Address | 3707 New Vision Dr, Fort Wayne, Indiana |
| Phone Number | 2604719466 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073565008 |
|---|---|
| Provider Enumeration Date | 2006-05-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3707 New Vision Dr |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468451702 |
| Phone Number | 2604719466 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 1038794 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 92611 | IN | ANTHEM | |
| 4074933100 | MI | -- | |
| 1696 | IN | PHP | |
| 2100621 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to William C Petty by the Centers for Medicare & Medicaid Services (CMS)?
The William C Petty has been assigned the NPI (National Provider Identifier) 1073565008. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the William C Petty's physical address?
The William C Petty is physically located at 3707 New Vision Dr, in the city of Fort Wayne, IN, with the postal code 468451702.
What is William C Petty's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William C Petty is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date was the 1073565008 assigned to William C Petty?
The William C Petty was issued its 1073565008 on 2006-05-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the William C Petty's information last updated?
The William C Petty's information was last updated on 2007-07-08.