Benjamin M Petty (NPI# 1518252105, PAC ID# 8628216694) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1518252105 |
| PAC ID by PECOS | 8628216694 |
| Professional Enrollment ID | I20170626001058 |
| Full Name | Benjamin M Petty |
| Organization Legal Name | EMERGEORTHO PA |
| Address |
910 W Williams St Apex NC 27502-5201 |
| Phone Number | 9193631957 |
| Gender | M |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 0749188894 |
| Number of Group Practice Members | 415 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340049 | NORTH CAROLINA SPECIALTY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 910 W Williams St, Apex, NC 27502-5201 | 9193631957 | EMERGEORTHO PA |
| 100 Perkins Dr, Chapel Hill, NC 27514-1783 | 9199423171 | EMERGEORTHO PA |
| 120 William Penn Plz, Durham, NC 27704-2150 | 9192205255 | EMERGEORTHO PA |
| 249 E Nc Hwy 54, Durham, NC 27713-7512 | 9195447270 | EMERGEORTHO PA |
| 7850 Brier Creek Pkwy, Suites 200 and 300, Raleigh, NC 27617-8900 | 9198463938 | EMERGEORTHO PA |
| 799 Doctors Ct, Roxboro, NC 27573-4571 | 3365994079 | EMERGEORTHO PA |
| Organization Legal Name | EMERGEORTHO PA |
| Physicians | 412 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason Todd Wall | Physical Therapy | Emergeortho Pa | 139 Fiddlers Run Blvd, Morganton, NC 28655-0095 |
| Lawrence Anthony Montalto | Pain Management | Emergeortho Pa | 5160 Ocean Hwy W, Shallotte, NC 28470-4012 |
| Danielle Griffin | Nurse Practitioner | Emergeortho Pa | 503 E Parker Rd, Morganton, NC 28655-5104 |
| Cory N Egli | Physical Therapy | Emergeortho Pa | 2716 Ashton Dr, Wilmington, NC 28412-2489 |
| Gabrielle Johnston | Physician Assistant | Emergeortho Pa | 2076 Hwy 42 W, Clayton, NC 27520-5302 |
| Frank Mikloucich | Physical Therapy | Emergeortho Pa | 3787 Shipyard Blvd, Wilmington, NC 28403-6148 |
| Donald Fuller | Physical Therapy | Emergeortho Pa | 8115 Market St, Suite 108, Wilmington, NC 28411-8429 |
| Christina Marie Valvano | Physical Therapy | Emergeortho Pa | 7459 High Market St, Suite 6, Sunset Beach, NC 28468-4333 |
| Richard Suchan | Physical Therapy | Emergeortho Pa | 2585 Hendersonville Rd, Arden, NC 28704-9577 |
| Brenda L Culbertson | Physical Therapy | Emergeortho Pa | 107 E Mcclanahan St, Oxford, NC 27565-2919 |
| Street Address |
910 W WILLIAMS ST |
| City | APEX |
| State | NC |
| Zip | 27502-5201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Wilson Iii | Physical Medicine and Rehabilitation | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Roxana M Airinei Teel | Physical Therapy | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Tammy K Elliott | Occupational Therapy | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Catherine A Sweeney | Physician Assistant | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Richard S Smith | Physician Assistant | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| John Webber | Physical Therapy | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Stephen Amico | Physical Therapy | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Devin K Nagel | Physical Therapy | Emergeortho Pa | 910 W Williams St, Apex, NC 27502-5201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Borgert | Chiropractic | 320 N Salem St, Suite 102, Apex, NC 27502-1481 | |
| Maribel Medina De La Barrera | Registered Dietitian Or Nutrition Professional | Wake Health Services Inc. | 212 S Salem St, Apex, NC 27502-1825 |
| Chinyere Bassey Chima | Nurse Practitioner | Wake Health Services Inc. | 212 S Salem St, Apex, NC 27502-1825 |
| Ayesha T Khan | Internal Medicine | Wake Health Services Inc. | 212 S Salem St, Apex, NC 27502-1825 |
| Cari Case | Chiropractic | 207 W Chatham St, Apex, NC 27502-1895 | |
| Gaea Annice Mccaig | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| David Holler | Optometry | Apex Vision Center Od Pa | 1049 Beaver Creek Commons Dr, Apex, NC 27502-3918 |
| John P Goldfield | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Elliott J Poole | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Nancy Sweatt Tallent | Physician Assistant | Rex Hospital Inc | 1059 Beaver Creek Commons Dr, Unit 230, Apex, NC 27502-3918 |
| Find all physicians in zip 27502 | |||
| City | APEX |
| Zip Code | 27502 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | APEX + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Benjamin M 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.