TRAVIS J PETREE (NPI# 1487604625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487604625 |
| Entity Type | Individual |
| Full Name | TRAVIS J PETREE |
| Credential | MD |
| Practice Address |
1416 6th St Sw Mason City IA 50401-4818 |
| Practice Telephone | 6414240102 |
| Practice Fax Number | 6414248059 |
| Mailing Telephone | 6414240102 |
| Mailing Fax Number | 6414248059 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35893 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | 47078557578 | 05 |
| Street Address |
1416 6TH ST SW |
| City | MASON CITY |
| State | IA |
| Zip Code | 50401-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780661280 | Joseph J Ocel | Radiology | 1416 6th St Sw, Suite 100, Mason City, IA 50401-4818 | 2005-12-27 |
| 1366497943 | Robert E Berg | Radiology | 1416 6th St Sw, Mason City, IA 50401-4818 | 2006-05-23 |
| 1356328314 | Ryan L Smith | Radiology | 1416 6th St Sw, Mason City, IA 50401-4818 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912544123 | Handicap Village | Intermediate Care Facility, Mentally Retarded | 1140 Limestone St, Mason City, IA 50401 | 2019-12-06 |
| 1548829989 | Debra Lynn Perzynski | Counselor | 103 E State St Suite 301, Brick and Tile Building, Mason City, IA 50401 | 2019-06-10 |
| 1851858617 | Four Oaks Family and Children's Services | Psychiatric Residential Treatment Facility | 80 North Eisenhower Ave, Mason City, IA 50401 | 2019-02-27 |
| 1578055521 | Alex Jon Uhlenhopp | Optometrist | 422 S Pierce Ave Ste 1, Mason City, IA 50401 | 2018-06-05 |
| 1538672985 | Bonnie Jean Burnett | Hearing Instrument Specialist | 704 16th St. Ne, Mason City, IA 50401 | 2017-11-08 |
| 1639691009 | Jeremy Baker | Counselor | 320 N Eisenhower Avenue, Mason City, IA 50401 | 2017-07-07 |
| 1437689940 | Medi-dent, Inc. | Psychiatry & Neurology | 1050 15th St. S.w., Suite 2, Mason City, IA 50401 | 2017-06-18 |
| 1922485283 | Jamie Lynn Heard | Social Worker | 50 N. Eisenhower Ave., Mason City, IA 50401 | 2015-05-06 |
| 1558756999 | Tyler Borchardt | Specialist/Technologist | 640 South Indiana Avenue, Mason City, IA 50401 | 2015-04-02 |
| 1811339203 | Siddiq A. Khan | General Practice | 520 S. Pierce Ave. Suite 150, Mason City, IA 50401 | 2013-07-25 |
| Find all providers in zip 50401 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164640041 | Bryan P Navarette | Radiology | 1010 4th St Sw Ste 100, Mason City, IA 50401-2856 | 2007-04-23 |
| 1780661280 | Joseph J Ocel | Radiology | 1416 6th St Sw, Suite 100, Mason City, IA 50401-4818 | 2005-12-27 |
| 1679760664 | Mason City Clinic PC | Radiology | 250 S Crescent Dr, Mason City, IA 50401-2926 | 2007-10-03 |
| 1629149844 | Hubert Fred Oakley | Radiology | 1010 4th St Sw, Suite 100, Mason City, IA 50401-2857 | 2006-11-10 |
| 1922187731 | North Iowa Mercy Clincis | Radiology | 1000 4th St Sw, Suite Ra, Mason City, IA 50401-2800 | 2006-11-03 |
| 1770503146 | North Iowa Mercy Clinics | Radiology | 1000 4th St Sw, Suite Net, Mason City, IA 50401-2800 | 2006-07-20 |
| 1114973377 | William D Matthews | Radiology | 1010 4th St Sw, Suite 100, Mason City, IA 50401-2857 | 2006-05-26 |
| 1609822873 | Ryan Michael Holthaus | Radiology | 1010 4th St Sw, Suite 100, Mason City, IA 50401-2857 | 2006-05-26 |
| 1710932850 | Kristin C White | Radiology | 1010 4th St Sw, Suite 100, Mason City, IA 50401-2857 | 2006-05-24 |
| 1366497943 | Robert E Berg | Radiology | 1416 6th St Sw, Mason City, IA 50401-4818 | 2006-05-23 |
| Find all providers in MASON CITY | ||||
| City | MASON CITY |
| Zip Code | 50401 |
Please comment or provide details below to improve the information on TRAVIS J PETREE.
| 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.