Opal E Pettis (NPI# 1083798060, PAC ID# 8729269261) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1083798060 |
| PAC ID by PECOS | 8729269261 |
| Professional Enrollment ID | I20140902000452 |
| Full Name | Opal E Pettis |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Address |
2301 M St Nw Washington DC 20037-1427 |
| Phone Number | 2024196200 |
| Gender | F |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3779495858 |
| Number of Group Practice Members | 1669 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2301 M St Nw, Washington, DC 20037-1427 | 2024196200 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Physicians | 1965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Joon Young Jang | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Lytia Fisher | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Tomika Coleman | Podiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 |
| Juliana Llano | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 |
| Roxanne C Orion | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12201 Plum Orchard Dr, Silver Spring, MD 20904-7803 |
| Keith M Egan | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| James Ritchie Jezior | Urology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 |
| David Leng | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 43480 Yukon Dr, Suite 100, Ashburn, VA 20147-6988 |
| Camille B Madison | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Nevi Patel | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Street Address |
2301 M ST NW |
| City | WASHINGTON |
| State | DC |
| Zip | 20037-1427 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keith M Egan | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Mohamed A Atalla | Urology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Jennifer Yee | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Shuo Chen | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Jasmine Jiao | Physical Therapy | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Chris Chung | Diagnostic Radiology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Kimberly Colden-massey | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Rebecca L Fitch | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Stephanie S Hack | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Wright F Doss | Clinical Social Worker | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffery R Robinson | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Suite 316, Washington, DC 20037-1404 |
| Antoine Touma | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Suite 316, Washington, DC 20037-1404 |
| Anita R Kulkarni | Plastic and Reconstructive Surgery | 2440 M St Nw, Suite 318, Washington, DC 20037-1404 | |
| Lauren M Nellamattathil | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Suite 316, Washington, DC 20037-1404 |
| Kendall T Black | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Suite 316, Washington, DC 20037-1404 |
| Charles J Bier | Internal Medicine | 2440 M St Nw, Suite 510, Washington, DC 20037-1404 | |
| Shannon K Will | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Suite 316, Washington, DC 20037-1404 |
| Eric J Campesi | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Washington, DC 20037-1404 |
| Allison Zygielbaum | Physical Therapy | C O R E Physical Therapy, Pllc | 2440 M St Nw, Suite 316, Washington, DC 20037-1404 |
| Rachel M Otto | Nurse Practitioner | Eric C. Marshall Md PC | 2240 M St Nw, Minuteclinic Diagnostic of The District of Columbi, Washington, DC 20037-1415 |
| Find all physicians in zip 20037 | |||
| City | WASHINGTON |
| Zip Code | 20037 |
| Specialty | PSYCHIATRY |
| City + Specialty | WASHINGTON + PSYCHIATRY |
Please comment or provide details below to improve the information on Opal E Pettis.
| 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.