JAMES PETTAWAY (NPI# 1841745015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841745015 |
| Entity Type | Individual |
| Full Name | JAMES PETTAWAY |
| Practice Address |
7338 Brockton Rd Philadelphia PA 19151-2238 |
| Practice Telephone | 2679340368 |
| Mailing Telephone | 2679340368 |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WH0202X |
Contractor Specialization: Home Modifications |
Other Service Providers |
| Street Address |
7338 BROCKTON RD |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19151-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982159505 | Legendary Cares | Hospice Care, Community Based | 7338 Brockton Rd, Philadelphia, PA 19151-2238 | 2016-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346860145 | Antonio Mayhew | Home Health | 1244 N 64th St, Philadelphia, PA 19151 | 2020-04-21 |
| 1477078913 | Nikisha Davis | Marriage & Family Therapist | 7621 Brookhaven Road, Philadelphia, PA 19151 | 2017-08-05 |
| 1376066092 | Kialenah Stewart | Technician | 451 N Edgewood Street, Philadelphia, PA 19151 | 2017-07-25 |
| 1922413186 | My Community My Way | Day Training, Developmentally Disabled Services | 1715 North Felton Street, Philadelphia, PA 19151 | 2014-06-26 |
| 1245670033 | Harcum Healthcare Group, LLC | Home Health | 7401 Woodbine Avenue, Philadelphia, PA 19151 | 2013-06-26 |
| 1639515687 | Daniel A Rader | Dentist | 7300 City Ave Suite 210, Phila, PA 19151 | 2013-05-17 |
| 1053632547 | Nalini Venkateswaran | Pharmacist | 7564-7570 Haverford Avenue, Rite Aid Pharmacy, Philadelphia, PA 19151 | 2010-06-18 |
| 1740494533 | Suburban Rehabilitation Associates, LLC | Orthopaedic Surgery | 7225 Haverford Avenue, Philadelphia, PA 19151 | 2007-05-10 |
| 1902027741 | Ndeye Aissatou Lo | Pharmacist | 7564 Haverford Ave, Philadelphia, PA 19151 | 2007-05-01 |
| 1629295076 | Gaudenzia Inc | Clinic/Center | 701 North 63rd Street, Philadelphia, PA 19151 | 2007-04-19 |
| Find all providers in zip 19151 | ||||
| Taxonomy Code | 171WH0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Home Modifications |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679037618 | Progressive Care Association | Contractor | 46 W Maplewood Mall, Philadelphia, PA 19144-2810 | 2019-01-23 |
| 1518440809 | Spn Construction Corporation | Contractor | 2528 S Broad St Ste 100, Philadelphia, PA 19145-4615 | 2018-09-12 |
| 1407397441 | Henry G Construction | Contractor | 801 S 60th St, Philadelphia, PA 19143-2311 | 2017-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487285508 | United Disabilities Services Foundation | Contractor | 2270 Erin Ct, Lancaster, PA 17601 | 2020-01-28 |
| 1942849070 | D'alicandro and Company LLC | Contractor | 2828 Broadway Blvd Ste 9, Monroeville, PA 15146-4680 | 2020-01-07 |
| 1992369631 | Pa Home Modification | Contractor | 3904 Perrysville Ave, Pittsburgh, PA 15214-1748 | 2019-04-29 |
| 1013473669 | Alexander Lipkind | Contractor | 124 W Patricia Rd, Holland, PA 18966-1844 | 2019-02-19 |
| 1316401235 | Ronald Charles Clayton | Contractor | 539 Fisher Ln, Warminster, PA 18974-2721 | 2019-01-24 |
| 1235605338 | Randy Keck | Contractor | 931 Catfish Ln, Pottstown, PA 19465-7305 | 2018-10-17 |
| 1447737820 | Morgan Depaolo | Contractor | 3154 Chartiers Ave, Pittsburgh, PA 15204-2254 | 2018-07-27 |
| 1497232508 | Eleven Kings LLC | Contractor | 2750 Constitution Blvd, Beaver Falls, PA 15010-1275 | 2018-07-21 |
| 1316432016 | Accessible Solutions Brokerage LLC | Contractor | 2260 Erin Ct, Lancaster, PA 17601-1965 | 2018-06-25 |
| 1962993279 | Brian Mooney | Contractor | 129 Longo Dr, Avondale, PA 19311-1432 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
| City | PHILADELPHIA |
| Zip Code | 19151 |
Please comment or provide details below to improve the information on JAMES PETTAWAY.
| 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.