MR. AARON DEWAYNE PETREY (NPI# 1710525944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710525944 |
| Entity Type | Individual |
| Full Name | MR. AARON DEWAYNE PETREY |
| Credential | PA-C |
| Practice Address |
475 N Highway 25 W Ste 100 Williamsburg KY 40769-1576 |
| Mailing Address |
Po Box 247 Jellico TN 37762-0247 |
| Practice Telephone | 6065492930 |
| Mailing Telephone | 4237840269 |
| Mailing Fax Number | 4237843708 |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2020-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2574 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q056813 | 05 | |
| KY | 7100652600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 131 Hospital Ln, Jellico, TN 377624404 | 4237847269 | 4237843708 |
| Street Address |
475 N HIGHWAY 25 W STE 100 |
| City | WILLIAMSBURG |
| State | KY |
| Zip Code | 40769-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535810 | Norvell Family Dentistry Pllc | Clinic/Center | 821 W. Hwy 25w, Williamsburg, KY 40769 | 2020-10-15 |
| 1730710724 | Heidi Marie Zwick | Specialist/Technologist | 6790 College Station Drive, Williamsburg, KY 40769 | 2020-01-29 |
| 1841764271 | Dayspring Health Inc | Clinic/Center | 640 West Highway 92, Williamsburg, KY 40769 | 2019-01-18 |
| 1649713728 | William Linscomb | Specialist/Technologist | 207 Circle Ave Apt8, Williamsburg, KY 40769 | 2016-11-22 |
| 1881137883 | Ashley Konrad | Specialist/Technologist | 6790 College Station Dr, Williamsburg, KY 40769 | 2016-11-22 |
| 1053680421 | Michael C Culver | Veterinarian | 319 Tackett Creek Rd, Williamsburg, KY 40769 | 2011-12-14 |
| 1942586060 | Smith and Brown Family Dentistry | Dentist | 821 S Hwy 25w, Williamsburg, KY 40769 | 2011-11-03 |
| 1346537271 | Kayla Fields | Dentist | 640 W Highway 92, Williamsburg, KY 40769 | 2011-06-29 |
| 1407154800 | Jellico Community Hospital, Inc | Nurse Practitioner | 998 South Highway 25w, Willaimsburg, KY 40769 | 2011-03-09 |
| 1568614543 | Family Health Care Associates of Williamsburg | Nurse Practitioner | 965 South Hwy 25, Ste 52, Williamsburg, KY 40769 | 2008-10-21 |
| Find all providers in zip 40769 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861767600 | Lesley Anne Tipton | Physician Assistant | 7527 College Station Dr, Williamsburg, KY 40769-1386 | 2012-03-13 |
| 1871795765 | Stephanie A Hoover | Physician Assistant | 202 Cove Forge Road, Cove Forge Behavioral Health, Williamsburg, PA 16693 | 2007-06-03 |
| 1720081565 | Jennifer L. Harrington | Physician Assistant | 841 S Highway 25 W # S, Suite 5, Williamsburg, KY 40769-4600 | 2005-05-24 |
| 1568820629 | Tracy Johnson | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2016-02-04 |
| 1033544606 | Odessa Ochoa | Physician Assistant | 5477 Mooretown Rd, Williamsburg, VA 23188-2108 | 2013-09-13 |
| 1659667681 | Kristen White | Physician Assistant | 1500 Commonwealth Ave, Williamsburg, VA 23185-5229 | 2011-06-28 |
| 1578716445 | Dannette Yuiska | Physician Assistant | 477 Mclaws Cir, Williamsburg, VA 23185-6316 | 2008-10-23 |
| 1912128125 | Kari Natasha Mcknight | Physician Assistant | 475 N Highway 25 W, Suite 100, Williamsburg, KY 40769-1576 | 2007-05-02 |
| 1134200223 | Paul C Henson | Physician Assistant | 998 S Highway 25 W, Suite 1, Williamsburg, KY 40769-1692 | 2006-10-17 |
| 1740221407 | Patricia S Reynolds | Physician Assistant | 400 Sentara Cir, Suite 320, Williamsburg, VA 23188-5716 | 2006-06-10 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 40769 |
Please comment or provide details below to improve the information on MR. AARON DEWAYNE PETREY.
| 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.