Robert T Petty (NPI# 1497795496, PAC ID# 0840228870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497795496 |
| PAC ID by PECOS | 0840228870 |
| Professional Enrollment ID | I20050801000808 |
| Full Name | Robert T Petty |
| Organization Legal Name | SONOMA VALLEY EMERGENCY PHYSICIAN MEDICAL GROUP, INC |
| Address |
347 Andrieux St Sonoma CA 95476-6811 |
| Phone Number | 7079355105 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1355420191 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050090 | SONOMA VALLEY HOSPITAL |
| 051332 | MARK TWAIN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 768 Mountain Ranch Rd, San Andreas, CA 95249-9707 | 2097543521 | YOSEMITE VALLEY MEDICAL SERVICES, A MEDICAL CORPORATION |
| 347 Andrieux St, Sonoma, CA 95476-6811 | 7079355105 | SONOMA VALLEY EMERGENCY PHYSICIAN MEDICAL GROUP, INC |
| Organization Legal Name | SONOMA VALLEY EMERGENCY PHYSICIAN MEDICAL GROUP, INC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark G Wills | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Shradha P Shah | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Amelia Randolph | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Robert A Zimmerman | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Timothy Jolis | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Mai Shimada | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Tamaki A Myers | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Elizabeth Flower | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Cynthia Lawder | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Lawrence R Burchett Iv | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Street Address |
347 ANDRIEUX ST |
| City | SONOMA |
| State | CA |
| Zip | 95476-6811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neil Hemant Thakur | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Mark G Wills | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Shradha P Shah | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Amelia Randolph | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Robert A Zimmerman | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Ari Kane | Diagnostic Radiology | California Advanced Imaging Medical Associates, Inc. | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Timothy Jolis | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Mai Shimada | Emergency Medicine | Sonoma Valley Emergency Physician Medical Group, Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Aminah Cherry | Family Medicine | Sv Hospitalist Medical Group Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Dennis J Verducci | Internal Medicine | Sv Hospitalist Medical Group Inc | 347 Andrieux St, Sonoma, CA 95476-6811 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin C Akar | General Practice | Sonoma Valley Community Health Center | 19270 Sonoma Hwy 12, Sonoma, CA 95476 |
| Grant Michael Dobson | Chiropractic | 19151 Sonoma Hwy, Sonoma, CA 95476 | |
| Yen Trang Vo | Family Practice | Sonoma Valley Community Health Center | 19270 Sonoma Hwy 12, Sonoma, CA 95476 |
| Michael J Kelly | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Leslie M Jaubert | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Carol Susan Krauthamer | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Kimberly F Aul | Physical Therapy | Caliente Springs Physical Therapy Inc | 17350 Vailetti Dr, Sonoma, CA 95476-3356 |
| Kathryn Mulholland | Psychologist, Clinical | 18016 Stanford Ct, Sonoma, CA 95476-4161 | |
| Gagan D Mall | Psychiatry | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Joyce E Giammattei | Registered Dietitian Or Nutrition Professional | Sonoma Valley Community Health Center | 19270 Hwy 12, Sonoma, CA 95476-5414 |
| Find all physicians in zip 95476 | |||
| City | SONOMA |
| Zip Code | 95476 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | SONOMA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert T Petty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.