Matthew S Petitt (NPI# 1912101593, PAC ID# 9931243508) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1912101593 |
| PAC ID by PECOS | 9931243508 |
| Professional Enrollment ID | I20100219000633 |
| Full Name | Matthew S Petitt |
| Organization Legal Name | SOUTHEAST DERMATOLOGY, P.A. |
| Address |
4419 Crenshaw Rd Pasadena TX 77504-3628 |
| Phone Number | 2819915944 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
| Secondary Specialties | PATHOLOGY |
| Group Practice PAC ID | 5193715571 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4419 Crenshaw Rd, Pasadena, TX 77504-3628 | 2819915944 | SOUTHEAST DERMATOLOGY, P.A. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 100% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_238_2+ | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_238_overall | Use of High-Risk Medications in the Elderly (100%: worst, 0% best) | 0% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 91% | |
| MIPS_EC_402_overall | Tobacco Use and Help with Quitting Among Adolescents | 100% |
| Organization Legal Name | SOUTHEAST DERMATOLOGY, P.A. |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashkan J Ghorbani | Dermatology | Southeast Dermatology, P.a. | 4419 Crenshaw Rd, Pasadena, TX 77504-3628 |
| Waqas R Shaikh | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Manuel Davila | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Paula F Leis | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Mary E Garman | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Christine M Hunt | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Wendy C Magee | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Elizabeth Schepp | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Isha Lopez | Dermatology | Southeast Dermatology, P.a. | 11914 Astoria Blvd, Suite 570, Houston, TX 77089-6079 |
| Street Address |
4419 CRENSHAW RD |
| City | PASADENA |
| State | TX |
| Zip | 77504-3628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashkan J Ghorbani | Dermatology | Southeast Dermatology, P.a. | 4419 Crenshaw Rd, Pasadena, TX 77504-3628 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donovan W May | Chiropractic | 4010 Fairmont Pkwy, Suite 110, Pasadena, TX 77504-0001 | |
| Russell J Olson | Chiropractic | 4010 Fairmont Pkwy, Suite 110, Pasadena, TX 77504-0001 | |
| Carlos E Aguilar | Internal Medicine | 3216 Spencer Hwy, A, Pasadena, TX 77504-1104 | |
| Lizeth Molina | Optometry | 3405 Spencer Hwy, Pasadena, TX 77504-1107 | |
| James L Mikkelsen | Optometry | Pasadena Texas State Optical, P.C. | 3405 Spencer Hwy, Pasadena, TX 77504-1107 |
| Jonathan F Tran | Optometry | Pasadena Texas State Optical, P.C. | 3405 Spencer Hwy, Pasadena, TX 77504-1107 |
| Anas Mouchli | Internal Medicine | Lone Star Intensivists At Gulf Coast, Pllc | 4000 Spencer Hwy, Pasadena, TX 77504-1202 |
| Shawn B Schoppe | Nurse Practitioner | Compass Point Emergency Physicians, Pllc | 4000 Spencer Hwy, Pasadena, TX 77504-1202 |
| Sania Rahim-giliani | Diagnostic Radiology | Singleton Associates Pa | 4000 Spencer Hwy, Pasadena, TX 77504-1202 |
| Chirag Parghi | Diagnostic Radiology | Singleton Associates Pa | 4000 Spencer Hwy, Pasadena, TX 77504-1202 |
| Find all physicians in zip 77504 | |||
| City | PASADENA |
| Zip Code | 77504 |
| Specialty | DERMATOLOGY |
| City + Specialty | PASADENA + DERMATOLOGY |
Please comment or provide details below to improve the information on Matthew S 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.