LARRY PETTIT DO PA (NPI# 1952671638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952671638 |
| Entity Type | Organization |
| Organization Name | LARRY PETTIT DO PA |
| Practice Address |
6300 W Parker Rd Suite 128 Plano TX 75093-8100 |
| Practice Telephone | 9729818658 |
| Practice Fax Number | 9729818657 |
| Mailing Telephone | 9729818658 |
| Mailing Fax Number | 9729818657 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-11 |
| Authorized Official Name | LARRY A PETTIT (PRESIDENT) |
| Authorized Official Telephone | 9729818658 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | K6235 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
6300 W PARKER RD SUITE 128 |
| City | PLANO |
| State | TX |
| Zip Code | 75093-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457357279 | Jenifer Arlene Broderick-thomas | Obstetrics & Gynecology | 6300 W Parker Rd, Ste 325, Plano, TX 75093-8103 | 2005-06-27 |
| 1982155743 | Katherine Lee Lloyd | Nurse Practitioner | 6300 W Parker Rd, Suite 325, Plano, TX 75093-8100 | 2016-10-17 |
| 1891168316 | Texas Premier Infectious Disease Consultants, Pllc | Hospitalist | 6300 W Parker Rd, Mob 2, Ste 128, Plano, TX 75093-8100 | 2015-11-05 |
| 1700271756 | Texas Medicine Resources LLP | Emergency Medicine | 6300 W Parker Rd, Plano, TX 75093-8100 | 2015-04-06 |
| 1386079267 | Otolaryngology Specialists of North Texas Pa | Specialist | 6300 W Parker Rd, Suite 326, Plano, TX 75093-8100 | 2013-09-10 |
| 1306104161 | Sabrina Stone | Internal Medicine | 6300 W Parker Rd, Mob 2, Suite #125, Plano, TX 75093-8100 | 2012-04-30 |
| 1578846127 | Alexandria R Devaughn | Nurse Practitioner | 6300 W Parker Rd, Building 2 Suite 325, Plano, TX 75093-8100 | 2011-09-20 |
| 1861701997 | Robert Duncan Sutherland | Specialist | 6300 W Parker Rd, Mob 2 Ste 128, Plano, TX 75093-8100 | 2010-10-07 |
| 1942527221 | Terre Q. Mcglothin, M.d., P.a. | Surgery | 6300 W Parker Rd, Mob 2, Suite 423, Plano, TX 75093-8100 | 2010-04-27 |
| 1982842357 | Susan Payberah, Md, P.a. | Clinic/Center | 6300 W Parker Rd, Suite 225, Plano, TX 75093-8100 | 2009-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
| 1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
| 1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
| 1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
| 1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
| 1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
| 1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
| 1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
| 1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
| 1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
| Find all providers in zip 75093 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730711847 | Dfw Plano Emergency Center, LLC | Emergency Medicine | 3670 State Highway 121, Plano, TX 75025-5200 | 2020-02-06 |
| 1316349004 | J. Thomas Ward, Jr., M.d., P.a. | Emergency Medicine | 8404 Yancey Ct, Plano, TX 75025-4343 | 2014-09-24 |
| 1598023749 | Joel Richard Wussow | Emergency Medicine | 3604 S Echo Trl, Plano, TX 75023-6107 | 2012-04-25 |
| 1720394653 | Louis Bernstein Pa | Emergency Medicine | 1528 Copper Creek Dr, Plano, TX 75075-2214 | 2010-08-30 |
| 1689848061 | Laurie Otto | Emergency Medicine | 3308 Preston Rd, Ste 350, #224, Plano, TX 75093-7471 | 2008-04-17 |
| 1417161886 | Michael Lee | Emergency Medicine | 8512 Cadbury Ct, Plano, TX 75024-6822 | 2007-05-09 |
| 1285855163 | Cary Nelson Schneider | Emergency Medicine | 1609 Watch Hill Dr, Plano, TX 75093-4921 | 2007-05-01 |
| 1962625087 | Gregory Blomquist | Emergency Medicine | 2401 Preston Rd, Suite D, Plano, TX 75093-2322 | 2007-04-10 |
| 1235209669 | Jay Robert Woody | Emergency Medicine | 5700 Granite Pkwy Ste 455, Plano, TX 75024-6631 | 2006-11-09 |
| 1710091178 | Geoffrey Stephen Coates | Emergency Medicine | 5913 New Haven Dr, Plano, TX 75093-7741 | 2006-08-19 |
| Find all providers in PLANO | ||||
Please comment or provide details below to improve the information on LARRY PETTIT DO PA.
| 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.