John Andrew Petery in Greensboro - Foot & Ankle Surgery

John Andrew Petery - NPI 1811946965

John Andrew Petery is a Foot & Ankle Surgery in Greensboro, North Carolina. John Andrew Petery practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for John Andrew Petery is 1811946965. The last update date is 2020-10-08.

John Andrew Petery's current location address is 5921 W Friendly Ave Ste D, Greensboro, North Carolina. You can contact this provider via phone number 3362188490 and fax number 3362996533. The mailing address for John Andrew Petery is 5921 W Friendly Ave Ste D, Greensboro, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name John Andrew Petery
Address 5921 W Friendly Ave Ste D, Greensboro, North Carolina
Phone Number 3362188490
Fax Number 3362996533
Sole Proprietor N
Credentials DPM

NPI Number Detail

NPI Number 1811946965
Provider Enumeration Date 2006-05-08
Last Updated Date 2020-10-08

Provider Mailing Address Detail

Address 5921 W Friendly Ave Ste D
City Greensboro
State North Carolina (NC)
Post Code 274103268
Phone Number 3362188490
Fax Number 3362996533

Provider's Primary Taxonomy Detail

Speciality Foot & Ankle Surgery
Taxonomy 213Es0103X
Licence No 409
Definition:
A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
U22761 NC UPIN
690193T NC --
890801U NC --
10387801 NC CAQH

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FAQs about John Andrew Petery

What is the unique 10-digit identifier code assigned to John Andrew Petery by the Centers for Medicare & Medicaid Services?

The John Andrew Petery has been issued the NPI (National Provider Identifier) 1811946965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where John Andrew Petery is geographically located?

The John Andrew Petery is physically situated at the following location: 5921 W Friendly Ave Ste D, Greensboro, NC, 274103268.

What is John Andrew Petery's area of expertise and its corresponding taxonomy classification?

The John Andrew Petery's field of specialization is Foot & Ankle Surgery, and it falls under the taxonomy code 213Es0103X, which categorizes healthcare providers based on their areas of practice.

On what date did John Andrew Petery receive its 1811946965 assignment from the Centers for Medicare & Medicaid Services?

The John Andrew Petery was assigned its 1811946965 on 2006-05-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to John Andrew Petery last refreshed?

The information related to the John Andrew Petery, including its address, specialty, and other relevant details, was last updated on 2020-10-08.

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