CAROLYN K PETTIT (NPI# 1063489474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063489474 |
| Entity Type | Individual |
| Full Name | CAROLYN K PETTIT |
| Credential | MD |
| Practice Address |
9003 E Shea Blvd Department of Pathology Scottsdale AZ 85260-6709 |
| Mailing Address |
Po Box 740968 Dallas TX 75374-0968 |
| Practice Telephone | 4803233383 |
| Practice Fax Number | 4803233358 |
| Mailing Telephone | 4803233383 |
| Mailing Fax Number | 4803233358 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2008-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
20042 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 187056 | 05 |
| Street Address |
9003 E SHEA BLVD DEPARTMENT OF PATHOLOGY |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85260-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667729 | Jeffrey A Becker | Psychiatry & Neurology | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2005-05-23 |
| 1215535059 | Jordan Ng | Pharmacist | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2020-10-14 |
| 1942856539 | Jennifer Gamlen | Nurse Practitioner | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2019-08-10 |
| 1215432208 | Whitney Faas | Nurse Practitioner | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2018-03-29 |
| 1891201877 | Dorothy Tram Huynh | Pharmacist | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2017-12-28 |
| 1447779251 | Shelby Rae Rowley | Specialist/Technologist, Other | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2017-09-12 |
| 1992236467 | Jeremy Driscoll | Emergency Medicine | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2017-03-25 |
| 1831545417 | Orthopedic Surgery Assistants, LLC | Physician Assistant | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2016-05-12 |
| 1043696222 | Angela Nicole Renckly | Pharmacist | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2015-08-10 |
| 1669854147 | Kylee Andrews | Nurse Practitioner | 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 | 2015-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153377 | Karen Lee Williams | Counselor | 7655 Eest Redfield Rd, Suite 4, Scottsdale, AZ 85260 | 2020-10-29 |
| 1477188001 | Dr. Lynne Remson, Stuttering Specialist, LLC | Clinic/Center | 7950 E. Acoma Dr., Ste 201, Scottsdale, AZ 85260 | 2020-03-04 |
| 1861049967 | Aca Wellness Institute | Registered Nurse | 10752 N. 89th Pl, 8, Ste 203, Scottsdale, AZ 85260 | 2019-08-22 |
| 1811542814 | Haven Home Physicians LLC | Internal Medicine | 15551 N Greenway-hayden Loop, Suite 155, Scottsdale, AZ 85260 | 2019-08-06 |
| 1700431079 | Corey Allen Niles | Physical Therapist | 16413 N 91st Street #c145, Scottsdale, AZ 85260 | 2019-08-05 |
| 1578126470 | Scottsdale Pediatric Dental Associates Inc | Dentist | 9280 E Raintree, Suite 108, Scottsdale, AZ 85260 | 2019-04-16 |
| 1548747645 | Oliver Canizales Renteria | Behavior Technician | 8310 East Cactus Road, Suite # 510, Scottsdale, AZ 85260 | 2018-07-23 |
| 1518454792 | Silent Night Sleep Center Lllp | Durable Medical Equipment & Medical Supplies | 9070 E Desert Cove Ave Ste 105, Scottsdale, AZ 85260 | 2018-04-13 |
| 1669976726 | Steincare Mobile Outpatient, LLC | Occupational Therapist | 9555 E. Raintree Drive, #2057, Scottsdale, AZ 85260 | 2018-03-22 |
| 1437658416 | Megan Anne Deffenbaugh | Behavior Technician | 8130 E Cactus Rd Suite 150, Scottsdale, AZ 85260 | 2018-02-06 |
| Find all providers in zip 85260 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427387372 | Meryl Harold Haber | Pathology | 8464 E Charter Oak Dr, Scottsdale, AZ 85260-5315 | 2009-12-23 |
| 1538492400 | Paul Boschen Visconti | Pathology | 33619 N 79th Way, Scottsdale, AZ 85266-4241 | 2009-09-10 |
| 1639378326 | Jennifer Rachel Scudiere | Pathology | 3260 N Hayden Rd Ste 112, Scottsdale, AZ 85251-6650 | 2007-07-13 |
| 1649332271 | Norbert A. Jones | Pathology | 8610 N Avenida Del Sol, Scottsdale, AZ 85253-2115 | 2006-12-13 |
| 1013997832 | Richard A Bernert | Pathology | 9060 E Via Linda # 9098, Scottsdale, AZ 85258-5422 | 2006-01-18 |
| 1235759630 | Arizona Precision Medicine, Pllc | Pathology | 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 | 2020-04-26 |
| 1316239304 | Melissa L Stanton | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2011-05-09 |
| 1245551597 | Najiyah N. Kazi | Pathology | 20401 N 73rd St, Suite 230, Scottsdale, AZ 85255-4107 | 2010-06-21 |
| 1053551861 | Matthew James Horne | Pathology | 8035 N 85th Way, Scottsdale, AZ 85258-4321 | 2009-03-06 |
| 1497920623 | Sarah Elizabeth Gibson | Pathology | 13400 E Shea Blvd, Scottsdale, AZ 85259-5452 | 2008-04-29 |
| Find all providers in SCOTTSDALE | ||||
| City | SCOTTSDALE |
| Zip Code | 85260 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.