DR. BART EDWARD PETRINI


Address: 2701 W Bay Area Blvd Apt 2702, Webster, TX 77598-3136
Phone: 5127718189

DR. BART EDWARD PETRINI (NPI# 1821292400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821292400
Entity Type Individual
Full Name DR. BART EDWARD PETRINI
Credential MD
Practice Address 2701 W Bay Area Blvd Apt 2702
Webster
TX 77598-3136
Practice Telephone 5127718189
Mailing Telephone 5127718189
Enumeration Date 2007-06-14
Last Update Date 2009-07-27
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine M7518 TX Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
M7518 TX Allopathic & Osteopathic Physicians
N 208D00000X General Practice M7518 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 189372914 05
TX BCBS 8R9891 01
TX 189372915 05

Office Location

Street Address 2701 W BAY AREA BLVD APT 2702
City WEBSTER
State TX
Zip Code 77598-3136

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

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NPI Name Taxonomy Address Enumeration
1639536550 Lakeside Diagnostic Solutions LLC Radiology 17304 Highway 3, Webster, TX 77598-4133 2016-01-22
1245396969 Lakeside Mri & Diagnostic Center Radiology 17360 Highway 3, Webster, TX 77598-4133 2006-12-28
1104864461 Hesham Morsi Radiology 400 W Medical Center Blvd Ste 230, Webster, TX 77598 2006-06-02
1548418205 Cattech Imaging, LLC Radiology 1695 Empire Blvd, Webster, NY 14580 2008-09-05
1013085588 Webster Radiology Inc. Radiology 340 Thompson Rd, Webster, MA 01570-1509 2006-12-01
1275521718 Southwest Radiology Assn Radiology 500 Medical Center Blvd, Webster, TX 77598-4220 2005-10-10
1538156690 Thomas J Sullivan Radiology 500 Medical Center Blvd, Webster, TX 77598-4220 2005-10-04
1255328530 Dennis R Carlyle Radiology 500 Medical Center Blvd, Webster, TX 77598-4220 2005-10-03

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Competitor

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City WEBSTER
Zip Code 77598

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Dataset Information

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.

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