WILLIAM KIMBALL PETITT (NPI# 1669463055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669463055 |
| Entity Type | Individual |
| Full Name | WILLIAM KIMBALL PETITT |
| Credential | PA-C |
| Practice Address |
799 E Hampden Ave Ste 400 Englewood CO 80113-2766 |
| Mailing Address |
Po Box 911244 Denver CO 80291-1244 |
| Practice Telephone | 3037892663 |
| Practice Fax Number | 3037884871 |
| Mailing Telephone | 8882697001 |
| Mailing Fax Number | 3037646640 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1599 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000177466 | 05 |
| Street Address |
799 E HAMPDEN AVE STE 400 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-2766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148371 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 799 E Hampden Ave Ste 400, Englewood, CO 80113-2766 | 2020-09-15 |
| 1891154407 | Vanessa Regina Hill | Physician Assistant | 799 E Hampden Ave Ste 400, Englewood, CO 80113 | 2016-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221624 | Jamie Marie Shriver | Physician Assistant | 15859 E Jamison Dr Apt 19308, Englewood, CO 80112-4681 | 2020-10-07 |
| 1104472679 | Lee K Maloney | Physician Assistant | 9570 S Kingston Ct Ste 100, Englewood, CO 80112-6004 | 2019-08-12 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1669963146 | Deborah G. Aragon | Physician Assistant | 6229 S. Iola Wy, Englewood, CO 80111 | 2018-05-21 |
| 1780110445 | Amanda Lewis | Physician Assistant | 6086 S Iola Way, Englewood, CO 80111-5705 | 2017-05-02 |
| 1649703307 | Tina Marie Jacobs | Physician Assistant | 304 Inverness Way S Ste 312, Englewood, CO 80112-5826 | 2017-04-09 |
| 1134662992 | Orli Feder | Physician Assistant | 60 E Linden Ave, Apt: 5a, Englewood, NJ 07631-3667 | 2016-11-28 |
| 1700258415 | Jenna Lynn Easton | Physician Assistant | 3511 S Clarkson St # 80113, Englewood, CO 80113-3916 | 2015-10-21 |
| 1013257385 | Carolyn Edlund | Physician Assistant | 699 S Indiana Ave, Englewood, FL 34223-3705 | 2013-02-25 |
| 1780933978 | Robert Aaron Prevatt | Physician Assistant | 88 Inverness Cir E Unit J105, Englewood, CO 80112-5527 | 2012-09-04 |
| Find all providers in ENGLEWOOD | ||||
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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.