DR. MICHAEL KENT PETTY (NPI# 1700850682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700850682 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL KENT PETTY |
| Credential | DO |
| Practice Address |
7300 Bosque Blvd Waco TX 76710 |
| Mailing Address |
Po Box 5338 Waco TX 76708 |
| Practice Telephone | 2542022600 |
| Practice Fax Number | 2542022650 |
| Mailing Telephone | 2542024660 |
| Mailing Fax Number | 2542024716 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2008-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | J9268 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 8A8890 | 01 |
| TX | 142060601 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679578132 | Michael Travis Petty | Chiropractor | 10826 Kingston Pike, Knoxville, TN 37934-3059 | 2005-06-20 |
| 1255951216 | Michael Glenn Petty | Registered Nurse | 500 Harvard St Se, Minneapolis, MN 55455-0363 | 2020-04-20 |
| 1598222531 | Michael Petty | Physical Therapist | 22 Mill St Ste 406, Arlington, MA 02476-4744 | 2019-02-26 |
| 1013355817 | Michael Duane Petty | Nurse Anesthetist, Certified Registered | 101 W 8th Ave, Mother Gamelin Center 3rd Floor, Spokane, WA 99204-2307 | 2013-06-13 |
| Street Address |
7300 BOSQUE BLVD |
| City | WACO |
| State | TX |
| Zip Code | 76710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154393890 | Elizabeth Blevins Turnage | Family Medicine | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2006-02-06 |
| 1578919775 | Nicholas Wilhelm | Family Medicine | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2016-05-06 |
| 1396139978 | Rachel Bishop Scullin | Nurse Practitioner | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2015-03-23 |
| 1568801629 | Sherry Celete Spacek-llanas | Family Medicine | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2013-06-21 |
| 1952740094 | Lauren Beth Miller | Internal Medicine | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2013-06-21 |
| 1275866212 | John Robert Mcclanahan | Family Medicine | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2009-09-09 |
| 1649360421 | Kyle L Hulme | Personal Emergency Response Attendant | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2006-10-13 |
| 1922075225 | Leighton Henry Carl | Family Medicine | 7300 Bosque Blvd, Waco, TX 76710-4023 | 2006-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740741156 | Jessica Cook-lindsay | Physical Therapist | 2121 W Hwy 6, Waco, Waco, TX 76710 | 2019-03-28 |
| 1306354824 | Paula A Huffhines | Technician, Other | 115 S 25th, Waco, TX 76710 | 2018-01-18 |
| 1982154639 | Nha Do | Pharmacist | 1301 Wood Acres, Waco, TX 76710 | 2016-10-06 |
| 1649662495 | Pediatric Advanced Life Services Home Health LLC | Home Health | 3640 W Waco Dr, Waco, TX 76710 | 2015-03-02 |
| 1881008795 | Soumava Sen, Dds, P.C. | Dentist | 4215 Franklin Ave, Ste. 300, Waco, TX 76710 | 2014-06-18 |
| 1053742221 | Dustin Dwain Kelm | Physical Therapist | 5400 Laurel Dr., Waco, TX 76710 | 2013-12-12 |
| 1881038776 | Penelope Diane Lane | Counselor | 7524 Bosque, Waco, TX 76710 | 2013-04-22 |
| 1538400627 | Erik Alexander Pernes Caluscusao | Physical Therapist | 415 Owen Ln Apt 911, Waco, TX 76710 | 2013-03-14 |
| 1447509039 | Sheree L Mach | Occupational Therapist | 5400 Laurel Lake Dr., Waco, TX 76710 | 2012-08-29 |
| 1568738425 | Ramanathan Anandaraman | Internal Medicine | 2608 Skyline Drive, Waco, TX 76710 | 2012-03-26 |
| Find all providers in zip 76710 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548881477 | Gp Medical Services, LLC | Family Medicine | 7200 Westover Rd, Waco, TX 76710-1084 | 2020-05-01 |
| 1265917959 | Martindale Family Medicine Clinic Pa | Family Medicine | 7104 New Sanger Ave, Waco, TX 76712-3928 | 2018-09-27 |
| 1417486812 | Van Kim Nguyen | Family Medicine | 1600 Providence Dr., Waco, TX 76707-2261 | 2017-06-08 |
| 1831596642 | Kerry Irons | Family Medicine | 2712 Cresthill Cir, Waco, TX 76710-1016 | 2014-11-21 |
| 1851730022 | Krystal Ann Estrada | Family Medicine | 1600 Providence Drive, Waco, TX 76707 | 2013-06-20 |
| 1144664061 | Sid Jones X | Family Medicine | 5010 Lakeland Cir Ste A, Waco, TX 76710-2981 | 2013-04-22 |
| 1033450044 | Careconnect Medical Group P.l.l.c | Family Medicine | 1600 Lake Shore Dr Apt 121, Waco, TX 76708-3702 | 2013-03-15 |
| 1942584255 | Heart of Texas Community Health Center, Inc. | Family Medicine | 4601 N 19th St, Waco, TX 76708-1261 | 2011-10-05 |
| 1477837730 | Heart of Texas Community Health Center, Inc. | Family Medicine | 1911 N Martin Luther King Jr Blvd, Waco, TX 76704-1438 | 2011-10-05 |
| 1730478777 | Garret Pool | Family Medicine | 600 Franklin Ave, Suite B-c, Waco, TX 76701-0002 | 2011-03-30 |
| Find all providers in WACO | ||||
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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.