DR. COURTNEY KATRIL PETTIFORD (NPI# 1770700163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770700163 |
| Entity Type | Individual |
| Full Name | DR. COURTNEY KATRIL PETTIFORD |
| Credential | M.D. |
| Practice Address |
122 George St Beckley WV 25801-2641 |
| Mailing Address |
122 George St. Beckley WV 25801-2641 |
| Practice Telephone | 3042500382 |
| Practice Fax Number | 3042500383 |
| Mailing Telephone | 3042500382 |
| Mailing Fax Number | 3042500383 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2012-04-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 24518 | WV | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 64715 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
122 GEORGE ST |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407965668 | Brian R Whyte | Surgery | 122 George St, Beckley, WV 25801-2608 | 2006-08-30 |
| 1629548664 | Cm Oneal Md Inc | Surgery | 122 George St, Beckley, WV 25801-2608 | 2018-12-03 |
| 1124362413 | Megan Nicole Dincher | Physician Assistant | 122 George St, Beckley, WV 25801-2608 | 2012-11-27 |
| 1992083992 | Matthew R Dincher | Physician Assistant | 122 George St, Beckley, WV 25801-2608 | 2011-07-26 |
| 1013185172 | Albert Francois Olivier | Surgery | 122 George St, Beckley, WV 25801-2608 | 2008-02-12 |
| 1285814640 | Beckley Vascular Associates Pllc | Surgery | 122 George St, Beckley, WV 25801-2608 | 2007-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 |
|---|---|---|---|---|
| 1417476920 | Raleigh General Hospital LLC | Surgery | 1717 Harper Rd Ste Ab, Beckley, WV 25801-3373 | 2017-09-15 |
| 1518082395 | Bandy B. Mullins, Md, Pllc | Surgery | 404 Carriage Dr, Beckley, WV 25801-2806 | 2007-03-20 |
| 1407965668 | Brian R Whyte | Surgery | 122 George St, Beckley, WV 25801-2608 | 2006-08-30 |
| 1831133818 | Rajendra Pratap Singh | Surgery | 201 Woodcrest Dr, Beckley, WV 25801-3633 | 2006-06-16 |
| 1700849262 | Elias H Isaac | Surgery | 1828 Harper Rd, Beckley, WV 25801-3366 | 2006-04-07 |
| 1407840549 | Bose S. Mikkilineni | Surgery | 419 Carriage Dr, Beckley, WV 25801-2805 | 2005-09-05 |
| 1487651717 | Oluyemisi R. Sangodeyi | Surgery | 379 Stanaford Rd, Beckley, WV 25801-3141 | 2005-07-01 |
| 1255804381 | Appalachian Surgical Group | Surgery | 250 Stanaford Rd, Beckley, WV 25801-3140 | 2019-01-11 |
| 1629548664 | Cm Oneal Md Inc | Surgery | 122 George St, Beckley, WV 25801-2608 | 2018-12-03 |
| 1023438868 | Sarang Kashyap | Surgery | 250 Stanaford Rd, Beckley, WV 25801-3140 | 2014-04-20 |
| Find all providers in BECKLEY | ||||
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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.