DR. JEAN CLAUDE PETIT ME (NPI# 1104138106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104138106 |
| Entity Type | Individual |
| Full Name | DR. JEAN CLAUDE PETIT ME |
| Credential | D.O |
| Practice Address |
208 Mill Rd Fairhaven MA 02719-5208 |
| Mailing Address |
200 Mill Rd Ste 180 Fairhaven MA 02719-5255 |
| Practice Telephone | 5089732204 |
| Practice Fax Number | 5089732640 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
384338 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Geisinger Medical Ctr, 100 North Academy Avenue, Danville, PA 178220001 | 5702716211 |
| Street Address |
208 MILL RD |
| City | FAIRHAVEN |
| State | MA |
| Zip Code | 02719-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417956426 | Patricia L Andrade | Surgery | 208 Mill Rd, 2nd Floor, Fairhaven, MA 02719-5208 | 2005-07-20 |
| 1255931150 | Kristen Erin Medeiros | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-10-29 |
| 1720687965 | Keri Mossman | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-10-20 |
| 1710514708 | Emily Rochac Argueta | Surgery | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2020-03-27 |
| 1821529215 | Christine J Manoli | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2017-03-27 |
| 1700326840 | Erica Lynn Almeida | Physician Assistant | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2017-03-07 |
| 1437695301 | Carolyn Ariel Duncan | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2017-01-16 |
| 1053863126 | Sandra Hornig | Physician Assistant | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-10-25 |
| 1437608841 | Michelle R. Freitas | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-09-27 |
| 1457808024 | Hannah Bailey Raymond | Nurse Practitioner | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457589772 | David Paul Patterson | Nurse Practitioner | 271 Alden Rd, Fairhaven, MA 02719 | 2009-06-25 |
| 1245415983 | Carol Ann Reeve | Social Worker | 21 Nelson Ave, Fairhaven, MA 02719 | 2007-12-31 |
| 1194842716 | Cathleen Lacy | Physical Therapist | 333 Bridge St, Fairhaven, MA 02719 | 2007-03-26 |
| 1700903978 | Barbara Ann Acksen | Psychologist | 91 Green Street, Fairhaven, MA 02719 | 2007-03-23 |
| 1811023260 | Merolla Chiropractic Inc | Chiropractor | 73 Alden Rd, Fairhaven, MA 02719 | 2007-02-27 |
| 1982746442 | Michele E Merolla | Chiropractor | 73 Aiden Rd, Fairhaven, MA 02719 | 2007-02-13 |
| 1417016338 | Brian K Bowcock | Chiropractor | 84 Huttleston Avenue, Fairhaven, MA 02719 | 2006-12-06 |
| 1104937697 | Southcoast Visiting Nurse Association. Inc | Home Health | 200 Mill Road, Suite 120, Fairhaven, MA 02719 | 2006-08-31 |
| 1902817299 | 184 Main LLC | Skilled Nursing Facility | 184 Main Street, Fairhaven, MA 02719 | 2006-08-11 |
| 1821584103 | Smiley Dental Care Pllc | Clinic/Center | 17 Berdon Way, Fairheaven, MA 02719 | 2018-07-10 |
| Find all providers in zip 02719 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477580462 | Michael D Grossman | Surgery | 208 Mill Rd, Fairhaven, MA 02719-5208 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215977749 | Michael B Yaffe | Surgery | 1 Chesbrough Rd, West Roxbury, MA 02132-3809 | 2006-06-06 |
| 1831155084 | Jonathan D Gates | Surgery | 75 Francis Street Brigham and Womens Hospital, Division of Trauma Burn and Critical Care, Boston, MA 02115 | 2006-04-25 |
| 1619936531 | Surgical Specialists of The North Shore,inc | Surgery | 331 Highland Ave, Salem, MA 01970-1738 | 2006-03-20 |
| 1093195315 | Hamza Durrani | Surgery | 840 Harrison Ave, Boston, MA 02118-2905 | 2015-06-02 |
| 1316359631 | Adam Michael Ackerman | Surgery | 55 Fruit St, Boston, MA 02114-2696 | 2014-05-21 |
| 1043646565 | Seungwhan Pee | Surgery | 1 General St, Lawrence, MA 01841-2997 | 2013-09-16 |
| 1023306875 | Mona Taleb | Surgery | 33 Bartlett St Ste 503, Lowell, MA 01852 | 2011-07-14 |
| 1619276896 | Feroze Y Sidhwa | Surgery | 725 Albany Street, 3rd Floor, Suite A, Boston, MA 02118-4776 | 2011-03-27 |
| 1124260187 | Nikolay Bugaev | Surgery | 800 Washington Street, Boston, MA 02111 | 2009-04-06 |
| 1013158021 | Charles Statter Parsons | Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2009-03-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.