Charles D Petit (NPI# 1205805215, PAC ID# 2668373242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GERIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1205805215 |
| PAC ID by PECOS | 2668373242 |
| Professional Enrollment ID | I20040116000362 |
| Full Name | Charles D Petit |
| Organization Legal Name | REHAB AND GERIATRICS |
| Address |
2935 Colonial Dr Columbia SC 29203-6811 |
| Phone Number | 8034011369 |
| Gender | M |
| Credential | MD |
| Medical School | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | GERIATRIC MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5597809137 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| 420086 | PALMETTO HEALTH BAPTIST |
| 420026 | PROVIDENCE HEALTH |
| 420073 | LEXINGTON MEDICAL CENTER |
| 420106 | PALMETTO HEALTH BAPTIST PARKRIDGE |
| Address | Phone | Organization |
|---|---|---|
| 2935 Colonial Dr, Columbia, SC 29203-6811 | 8034011369 | REHAB AND GERIATRICS |
| Organization Legal Name | REHAB AND GERIATRICS |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Devin J Troyer | Physical Medicine and Rehabilitation | Rehab and Geriatrics | 1165 Hwy 1 S 300, Lugoff, SC 29078-8966 |
| Kayla Sanders | Nurse Practitioner | Rehab and Geriatrics | 2935 Colonial Dr, Columbia, SC 29203-6811 |
| William Daniel Westerkam | Physical Medicine and Rehabilitation | Rehab and Geriatrics | 2935 Colonial Dr, Columbia, SC 29203-6811 |
| Curtis R Bair | Internal Medicine | Rehab and Geriatrics | 2935 Colonial Dr, Columbia, SC 29203-6811 |
| Street Address |
2935 COLONIAL DR |
| City | COLUMBIA |
| State | SC |
| Zip | 29203-6811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Sanders | Nurse Practitioner | Rehab and Geriatrics | 2935 Colonial Dr, Columbia, SC 29203-6811 |
| William Daniel Westerkam | Physical Medicine and Rehabilitation | Rehab and Geriatrics | 2935 Colonial Dr, Columbia, SC 29203-6811 |
| Curtis R Bair | Internal Medicine | Rehab and Geriatrics | 2935 Colonial Dr, Columbia, SC 29203-6811 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary Logan Hardy | Emergency Medicine | Prisma Health Midlands | 14 Medical Park Rd, Suite 350, Columbia, SC 29203 |
| Robin B Welsh | Psychiatry | University Pediatrics | 14 Medical Park, Suite 400, Columbia, SC 29203 |
| Lawrence K Siegel | Pediatric Medicine | University Pediatrics | 9 Medical Park, Columbia, SC 29203 |
| Ronnie W Neuberg | Pediatric Medicine | Palmetto Health | 7 Medical Park, Suite 203, Columbia, SC 29203 |
| Melanie Blackburn | Pediatric Medicine | University Pediatrics | 14 Medical Park, Columbia, SC 29203 |
| Julia B Ballance | Pediatric Medicine | University Pediatrics | 14 Medical Park, Columbia, SC 29203 |
| Matthew M Wienecke | Cardiovascular Disease (cardiology) | University Pediatrics | 9 Medical Park, Suite 110, Columbia, SC 29203 |
| Charles W Derrick Jr. | Pediatric Medicine | University Pediatrics | 9 Medical Park, Columbia, SC 29203 |
| Whitney Brown | Endocrinology | University Pediatrics | 9 Medical Park, Columbia, SC 29203 |
| Stacey M Humphreys | Critical Care (intensivists) | Palmetto Health | 7 Medical Park, Suite 203, Columbia, SC 29203 |
| Find all physicians in zip 29203 | |||
| City | COLUMBIA |
| Zip Code | 29203 |
| Specialty | GERIATRIC MEDICINE |
| City + Specialty | COLUMBIA + GERIATRIC MEDICINE |
Please comment or provide details below to improve the information on Charles D Petit.
| 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.