MR. THOMAS CHRISTOPHER PETTINGER (NPI# 1891884433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891884433 |
| Entity Type | Individual |
| Full Name | MR. THOMAS CHRISTOPHER PETTINGER |
| Credential | DO |
| Practice Address |
460 South Ocutillo Benson AZ 85602 |
| Mailing Address |
Po Box 1477 Benson AZ 85602 |
| Practice Telephone | 5205862249 |
| Practice Fax Number | 5205862803 |
| Mailing Telephone | 5205862249 |
| Mailing Fax Number | 5205862803 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 20A4257 | CA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 1515 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932162260 | Thomas William Pettinger | Radiology | 250 Northwest Blvd, Suite #202, Coeur D Alene, ID 83814-2974 | 2006-04-08 |
| Street Address |
460 SOUTH OCUTILLO |
| City | BENSON |
| State | AZ |
| Zip Code | 85602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821582529 | Chiricahua Community Health Centers, Inc | Clinic/Center | 335 South Ocotillo Avenue, Benson, AZ 85602 | 2018-06-18 |
| 1437651288 | Chiricahua Community Health Centers Inc | Pharmacy | 335 S Ocotillo Avenue, Benson, AZ 85602 | 2018-03-07 |
| 1295191641 | Caring Connections for Special Needs, LLC. | Community/Behavioral Health | 870 W 4th St, Benson, AZ 85602 | 2016-01-14 |
| 1396158762 | Nicole Michelle Morris | Audiologist | 1989 S. Frontage Rd., Audiology Hearing and Balance Services, Sierra Vista, AZ 85602 | 2014-06-03 |
| 1467735217 | Josephine Anne Ellsworth | Counselor | 811 Maverick Lane, Benson, AZ 85602 | 2011-09-27 |
| 1730483819 | Charles Dean Kartchner | Anesthesiology | 1357 East Airport Road, Benson, AZ 85602 | 2011-01-04 |
| 1699077321 | Community Bridges, Inc | Clinic/Center | 470 S Ocotillo Ave # 2, Benson, AZ 85602 | 2010-12-01 |
| 1801106844 | Tomas G. Soto | Social Worker | 611 W. Union St., Benson, AZ 85602 | 2010-10-08 |
| 1982929451 | Marla Jeanne Trepanier | Pharmacist | 795 W Fourth Street, Benson, AZ 85602 | 2010-03-29 |
| 1396910832 | Susan May Boge | Occupational Therapist | 1764 N Ocotillo Rd, Benson, AZ 85602 | 2008-04-25 |
| Find all providers in zip 85602 | ||||
| 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 |
|---|---|---|---|---|
| 1083838403 | Matthew J Dammeyer | Family Medicine | 125 20th St Sw, Benson, MN 56215-2430 | 2007-04-13 |
| 1598774697 | Christopher John Mackinnon | Family Medicine | 804 S Market St, Benson, NC 27504-2110 | 2006-08-07 |
| 1851334163 | Revella B Harmon | Family Medicine | 411 N Pleasant Coats Road, Benson, NC 27504 | 2006-06-14 |
| 1629019260 | Andrew W Mayberry | Family Medicine | 890 W 4th St, Benson, AZ 85602-6437 | 2006-06-08 |
| 1669448312 | Roger J Bauer | Family Medicine | 1805 Wisconsin Ave, Benson, MN 56215-1653 | 2006-02-23 |
| 1518930783 | Crystal B Rambeau | Family Medicine | 3333 Nc Highway 242 N, Benson, NC 27504-7844 | 2006-02-08 |
| 1619955846 | Robert G. Dawkins | Family Medicine | 70 Crape Myrtle Dr, Suite 104, Benson, NC 27504-8034 | 2006-01-06 |
| 1013990548 | Barbara H Hartley | Family Medicine | 860 W 4th St, Benson, AZ 85602-6437 | 2005-11-29 |
| 1700434099 | Ohio Valley Physicians Inc | Family Medicine | 1 Medical Dr, Benson, NC 27504-1177 | 2019-08-29 |
| 1861975484 | Amanda Taylor | Family Medicine | 3333 Nc Highway 242 N, Benson, NC 27504-7844 | 2018-09-10 |
| Find all providers in BENSON | ||||
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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.