John K Petty in Winston Salem - Pediatric Surgery
John K Petty - NPI 1497731095
John K Petty is a Pediatric Surgery in Winston Salem, North Carolina. John K Petty practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for John K Petty is 1497731095. The last update date is 2010-11-12.
John K Petty's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255 and fax number 3367166637. The mailing address for John K Petty is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John K Petty |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | 3367166637 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1497731095 |
|---|---|
| Provider Enumeration Date | 2005-12-16 |
| Last Updated Date | 2010-11-12 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number | 3367166637 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 200501628 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806729 | PARTNERS | ||
| Q01623 | SC | -- | |
| 14042 | BCBS | ||
| 10211484 | VA | -- | |
| 7290767 | AETNA | ||
| 184276 | MEDCOST | ||
| 3810003638 | WV | -- | |
| 5902325 | NC | -- |
Post Comment/ Review Below
What is the John K Petty's 1497731095?
The John K Petty's NPI (National Provider Identifier) Number is 1497731095. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of John K Petty?
The John K Petty is physically situated at Po Box 344, in the city of Winston Salem, state of NC, with the postal code 271020344.
What is John K Petty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John K Petty is Pediatric Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services assign the 1497731095 to John K Petty?
The Centers for Medicare & Medicaid Services assigned the 1497731095 to John K Petty on 2005-12-16.
When was the John K Petty's information last updated?
The John K Petty's information was last updated on 2010-11-12.