DAVID AARON PETTY (NPI# 1376877795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376877795 |
| Entity Type | Individual |
| Full Name | DAVID AARON PETTY |
| Credential | D.O. |
| Practice Address |
3422 S 15th E Idaho Falls ID 83404-8262 |
| Practice Telephone | 2085299292 |
| Practice Fax Number | 2085232397 |
| Mailing Telephone | 2085299292 |
| Mailing Fax Number | 2085232397 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2019-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
O-0796 | ID | Allopathic & Osteopathic Physicians |
| N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
DO0000002408 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508302068 | David A Petty I | Physical Therapy Assistant | 2100 N Amidon Ave # S208, Wichita, KS 67203-2126 | 2017-01-09 |
| 1366481574 | David Gordon Petty Jr. | Internal Medicine | 11408 Kingston Pike, Suite 400, Knoxville, TN 37934-3975 | 2006-06-05 |
| 1770531782 | David Petty | Pharmacist | 103 South Y Square, Selmer, TN 38375 | 2006-05-04 |
| 1205054335 | David William Petty | Pharmacist | 707 S Mills St, Suite 300, Madison, WI 53715-1849 | 2007-04-23 |
| 1598797151 | David K Petty | Specialist/Technologist | 2415 Mccallie Ave, Chattanooga, TN 37404-3322 | 2006-07-06 |
| Street Address |
3422 S 15TH E |
| City | IDAHO FALLS |
| State | ID |
| Zip Code | 83404-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285621532 | Michael T Harris Md, PC | Clinic/Center | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2005-10-03 |
| 1760044424 | Phillip Marlowe | Radiologic Technologist | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2019-07-02 |
| 1215314968 | Hsiang-hua Wang | Counselor | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2015-05-01 |
| 1114343985 | Kelly Stark | Counselor | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2014-03-17 |
| 1912335738 | Family Resource Centers of America, Inc | Clinic/Center | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2013-10-15 |
| 1164712899 | Sawtooth Rehab, Pllc | Specialist | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2011-04-14 |
| 1720387681 | Travis Scott Hull | Social Worker | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2011-03-17 |
| 1235363169 | Maria Teresa Alvarado | Counselor | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2009-05-06 |
| 1982841334 | Karen Elise Bender | Registered Nurse | 3422 S 15th E, The Healing Sanctuary, Idaho Falls, ID 83404-8262 | 2009-01-07 |
| 1861651812 | Michael Rex | Social Worker | 3422 S 15th E, Idaho Falls, ID 83404-8262 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750809 | Joshua M Murphy | Dentist | 1580 Elk Creek Dr., Idaho Falls, ID 83404 | 2020-11-03 |
| 1427618958 | Eastern Idaho Endodontics | Dentist | 3335 S. Holmes Ave, Idaho Falls, ID 83404 | 2019-06-17 |
| 1942863600 | Muhammad Arslan Khan | Student in an Organized Health Care Education/Training Program | 2860 Channing Way Suite 214, Idaho Falls, ID 83404 | 2019-04-18 |
| 1942771043 | Physician's Choice Cardiology, Pllc | Internal Medicine | 3302 Valencia, Suite 201, Idaho Falls, ID 83404 | 2018-12-16 |
| 1609358761 | Cardiac Cath Lab of Idaho Falls | Internal Medicine | 3311 Valencia Drive, Idaho Falls, ID 83404 | 2018-09-05 |
| 1083196380 | Hannah Golden | Occupational Therapist | 1460 Elk Creek, Idaho Falls, ID 83404 | 2018-09-04 |
| 1316423049 | Lindsay Sessions | Speech-Language Pathologist | 2210 Niagara St, Idaho Falls, ID 83404 | 2018-07-16 |
| 1720574023 | Bmh, Inc. | Anesthesiology | 3302 Valencia Dr., Suite 201, Idaho Falls, ID 83404 | 2018-07-10 |
| 1093237935 | Jason Earl Bailey | Contractor | 3100 S Woodruff Ave., Idaho Falls, ID 83404 | 2017-07-12 |
| 1235682121 | Mountain Falls Quick Care | Clinic/Center | 1995 E 17th St #1, Idaho Falls, ID 83404 | 2016-07-27 |
| Find all providers in zip 83404 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073834974 | Dallas George Rindfleisch | Allergy & Immunology | 3155 Channing Way Ste A, Idaho Falls, ID 83404-7875 | 2010-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477866606 | Idaho Allergy L.L.C. | Allergy & Immunology | 379 E Shore Dr, Suite 100, Eagle, ID 83616-5410 | 2010-07-16 |
| 1538108089 | Kathryn L Mcmullan | Allergy & Immunology | 323 E Riverside Dr, Ste 234, Eagle, ID 83616-6864 | 2006-06-06 |
| 1306832688 | Kenneth John Wakefield | Allergy & Immunology | 3731 N Ramsey Rd, Suite 150, Coeur D Alene, ID 83815-9000 | 2005-09-22 |
| 1306831045 | Gregory John Kadlec | Allergy & Immunology | 800 Falls Ave, Suite 2, Twin Falls, ID 83301-3366 | 2005-09-20 |
| 1124462494 | Upper Valley Ent & Allergy Pllc | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2013-04-17 |
| 1447456272 | Barry John Peterson | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2007-06-27 |
| 1427138734 | Asthma & Allergy of Idaho Pllc | Allergy & Immunology | 800 Falls Ave, Suite 2, Twin Falls, ID 83301 | 2006-10-17 |
| 1972537892 | Jay Robert Mcmaster | Allergy & Immunology | 256 N 2nd E, Rexburg, ID 83440-1638 | 2006-07-10 |
| 1295769594 | David E Parry | Allergy & Immunology | 500 S 11th Ave, Suite 202, Pocatello, ID 83201-4835 | 2006-07-10 |
| 1609865880 | Charles Nephi Webb | Allergy & Immunology | 1000 N Curtis Rd, Ste 303, Boise, ID 83706-1347 | 2005-10-19 |
| Find all providers with the same taxonomy | ||||
| City | IDAHO FALLS |
| Zip Code | 83404 |
Please comment or provide details below to improve the information on DAVID AARON PETTY.
| 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.