Kimberly D Petitt (NPI# 1194827865, PAC ID# 3779547120) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1194827865 |
| PAC ID by PECOS | 3779547120 |
| Professional Enrollment ID | I20070202000215 |
| Full Name | Kimberly D Petitt |
| Organization Legal Name | HOSPITAL DOCS PA |
| Address |
504 Medical Ctr Blvd Conroe TX 77304-2808 |
| Phone Number | 9365391111 |
| Gender | F |
| Credential | DO |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 7517052822 |
| Number of Group Practice Members | 38 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450775 | KINGWOOD MEDICAL CENTER |
| 450222 | CONROE REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 504 Medical Ctr Blvd, Conroe, TX 77304-2808 | 9365391111 | HOSPITAL DOCS PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | HOSPITAL DOCS PA |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Audra J Dear | Nurse Practitioner | Hospital Docs Pa | 1508 11th St, Huntsville, TX 77340-3816 |
| Tricia L Punsalan | Family Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Ebrahim M Mogri | Internal Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Nawaf Alrehani | Internal Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Ali Abbasi | Internal Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Charles R Robbins | Nurse Practitioner | Hospital Docs Pa | 1508 11th St, Huntsville, TX 77340-3816 |
| Madiha Laiq | Internal Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Karen Taylor | Nurse Practitioner | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Quincy Lucas | Internal Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Tigist G Mehari | Neurology | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Street Address |
504 MEDICAL CTR BLVD |
| City | CONROE |
| State | TX |
| Zip | 77304-2808 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tricia L Punsalan | Family Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Luviza J Santos | Internal Medicine | Ipc Healthcare Services of Texas Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| James D Pickett | Cardiovascular Disease (cardiology) | Conroe Montgomery Physicians Group, Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Ebrahim M Mogri | Internal Medicine | Hospital Docs Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Sheby Thomas | Anesthesiology Assistant | Independent Physicians Network Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Karen J Brock | Certified Nurse Midwife (cnm) | Conroe Montgomery Physicians Group, Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Michelle M Hebert | Pathology | Gulf Coast Pathology Associates Pa | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Ryan C Richards | Anesthesiology | Independent Physicians Network Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Amanda P Nylund | Emergency Medicine | Compass Point Emergency Physicians, Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Peter W Harris | Emergency Medicine | Compass Point Emergency Physicians, Pllc | 504 Medical Ctr Blvd, Conroe, TX 77304-2808 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert Stephen Ellis | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Alexander B Klein | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jerome C Young | Obstetrics/gynecology | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jeffrey A Przybyla | General Surgery | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Kelly K Gilmore-lynch | Colorectal Surgery (proctology) | Conroe Montgomery Physicians Group, Pllc | 508 Medical Ctr Blvd, Suite 150, Conroe, TX 77304 |
| Jessica L Cooper | Clinical Social Worker | Vericare PC | 99 Rigby Owen Rd, Conroe, TX 77304-1765 |
| Kenneth M Perkins | Chiropractic | 3504 W Davis, Conroe, TX 77304-1832 | |
| Harry K Eulitt | Chiropractic | 3401 W Davis, Conroe, TX 77304-1860 | |
| Michele Times | Nurse Practitioner | Psychiatric Services of Houston and Associates I, Pllc | 1701 Westview Blvd, Strake Place, Conroe, TX 77304-1911 |
| Jennifer L Boyd | Nurse Practitioner | Tri-county Behavioral Healthcare | 233 Sgt Ed Holcomb Blvd S, Conroe, TX 77304-1990 |
| Find all physicians in zip 77304 | |||
| City | CONROE |
| Zip Code | 77304 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | CONROE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kimberly D Petitt.
| 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.