DR. CLINT SPENSER PETTIT (NPI# 1588921787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588921787 |
| Entity Type | Individual |
| Full Name | DR. CLINT SPENSER PETTIT |
| Credential | MD |
| Practice Address |
110 Irving St Nw East Bldg., Room 8122 Washington DC 20010 |
| Mailing Address |
110 Irving St. Nw East Bldg., Room 8122 Washington DC 20010 |
| Practice Telephone | 2028777445 |
| Practice Fax Number | 2028770002 |
| Mailing Telephone | 2028777445 |
| Mailing Fax Number | 2028770002 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
MD042935 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
110 IRVING ST NW EAST BLDG., ROOM 8122 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567012 | Autumn C Graham | Emergency Medicine | 110 Irving St Nw, Washington, DC 20010-2976 | 2005-06-13 |
| 1730780891 | Elizabeth Ann Maggio | Occupational Therapist | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-11-05 |
| 1811597347 | Elissa Newman | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-26 |
| 1649879545 | Lisa Marie Shine | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-21 |
| 1629676002 | Tiffany Laura Weekes | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-16 |
| 1508463910 | Liane Okada | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1548867948 | Joseph Griffin Rebideaux | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1033716311 | Chi Wing Pang | Registered Nurse | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1023615333 | Theresa Howard | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-10-08 |
| 1003423385 | Gladys Tombise Ekema | Nurse Practitioner | 110 Irving St Nw, Washington, DC 20010-3017 | 2020-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134728397 | Blueiris LLC | Clinic/Center | 3318 Georgia Ave Nw, Unit 13, Washington, DC 20010 | 2020-10-20 |
| 1700425618 | Eve Kronzek | Audiologist | Children's National Hospital, 111 Michigan Ave Nw, Suite 1250, Washington, Dc, DC 20010 | 2019-12-26 |
| 1366085169 | Jakeline Xochitl Merino | Nurse Practitioner | 106 Irving At Nw, Suite 419, Washington Dc, DC 20010 | 2019-10-24 |
| 1710548110 | Ebrahim Hasan Khan | Student in an Organized Health Care Education/Training Program | 110 Irving St Nw Dept of Int Med, Washington, DC 20010 | 2019-06-26 |
| 1932660362 | Matthew Joseph Moon | Physician Assistant | Medstar Washington Hospital Center - Sicu, 110 Irving Street Nw, Washington, DC 20010 | 2019-03-28 |
| 1316407463 | Rabia Idrees | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Internal Medicine, Washington, DC 20010 | 2019-03-24 |
| 1588124168 | Nishita Patel | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Obstetrics and Gynecology, Washington, DC 20010 | 2019-03-21 |
| 1861958035 | Melissa Ann Williams | Home Health Aide | 3506 Georgia Ave Nw #102, Washington, DC 20010 | 2019-02-13 |
| 1073080602 | Jingzhe Gao | Registered Nurse | Medstar National Rehabilitation Network, 102 Irving Street, Nw, Washington, DC 20010 | 2018-11-01 |
| 1487140737 | Anees Musallam Sr. | Student in an Organized Health Care Education/Training Program | 110 Irving St. Nw Dept of Interventional Cardiology, Washington, DC 20010 | 2018-07-09 |
| Find all providers in zip 20010 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669828430 | Aparna Desai | Internal Medicine | 110 Irving St Nw Rm 2a-68, Washington, DC 20010-3017 | 2016-05-10 |
| 1770901498 | Lissa Y. Berroa Garcia | Internal Medicine | 400 Galloway St Ne Apt 514s, Washington, DC 20011 | 2014-03-31 |
| 1720374671 | Jordan Keen | Internal Medicine | 50 F Street, Nw, #3300, Washington, DC 20001 | 2011-06-20 |
| 1144602277 | Ethan Goldstein | Internal Medicine | 110 Irving St Nw Dept Of, Washington, DC 20010-3017 | 2015-06-25 |
| 1457779324 | Sebastian Cousins | Internal Medicine | 110 Irving St Nw, Washington, DC 20010 | 2014-03-28 |
| 1821359290 | Michael Pottash | Internal Medicine | 110 Irving St Nw, Washington, DC 20010-3017 | 2012-06-01 |
| 1558687897 | Capital Palliaitve Care Consultants, LLC | Internal Medicine | 4401 Connecticut Ave Nw, 700, Washington, DC 20008-2322 | 2010-04-12 |
| 1780847574 | Kathleen Grace Catapano Anderson | Internal Medicine | 3800 Reservoir Rd Nw, Phc 6 - Dept of Internal Medicine, Washington, DC 20007-2113 | 2008-07-02 |
| 1114082096 | Erica R Schockett | Internal Medicine | 2150 Pennsylvania Avenue Nw, Medical Faculty Associates Division of Geriatrics & Pal, Washington, DC 20037 | 2006-12-22 |
| City | WASHINGTON |
| Zip Code | 20010 |
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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.