Benjamin D Petty (NPI# 1659660967, PAC ID# 4688813009) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1659660967 |
| PAC ID by PECOS | 4688813009 |
| Professional Enrollment ID | I20130615000121 |
| Full Name | Benjamin D Petty |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| Address |
1111 Ronald Reagan Pkwy Avon IN 46123-7085 |
| Phone Number | 3172173500 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 5799755864 |
| Number of Group Practice Members | 461 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150158 | IU HEALTH WEST HOSPITAL |
| 150056 | INDIANA UNIVERSITY HEALTH METHODIST HOSPITAL (INDIANAPOLIS) |
| Address | Phone | Organization |
|---|---|---|
| 1111 N R Reagan Pkwy, Avon, IN 46123-7085 | 3179443500 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| 1111 N Ronald Reagan Pkwy, C1600, Avon, IN 46123-7085 | 3172172919 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 | 3172173500 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| 1701 N Senate Blvd, Indianapolis, IN 46202-1239 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC | |
| 1701 Senate Blvd, Indianapolis, IN 46202-1239 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC | |
| 1701 Senate Blvd Room, Ag022 Iu Health Behavioral and Psychiatry, Indianapolis, IN 46202-1239 | 3179622622 | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| Organization Legal Name | INDIANA UNIVERSITY HEALTH CARE ASSOCIATES INC |
| Physicians | 440 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Elizabeth Green | Registered Dietitian Or Nutrition Professional | Indiana University Health Care Associates Inc | 2901 W Jackson St, Iu Health Diabetes Center, Muncie, IN 47304-4307 |
| Clare Jung Eun Lee | Endocrinology | Indiana University Health Care Associates Inc | 720 Eskenzai Ave, Iu Health Phy, Indianapolis, IN 46202-2879 |
| Stephanie Lynn Reynolds | Family Medicine | Indiana University Health Care Associates Inc | 6845 E Us Hwy 36 600, Iu Health Physicians, Avon, IN 46123-8132 |
| Holly N Deckard | Nurse Practitioner | Indiana University Health Care Associates Inc | 1275 Pkwy Dr, Zionsville, IN 46077-1953 |
| Amy E Branch | Registered Dietitian Or Nutrition Professional | Indiana University Health Care Associates Inc | 8820 S Meridian St, Suite 120, Indianapolis, IN 46217-6056 |
| Kimberly Mcgillicuddy | Nurse Practitioner | Indiana University Health Care Associates Inc | 9670 E Washington St, 120 Iu Health Physicians, Indianapolis, IN 46229-3051 |
| Anne C Whitehead | Emergency Medicine | Indiana University Health Care Associates Inc | 1701 Senate Blvd Room, Ag022 Iu Health Behavioral and Psychiatry, Indianapolis, IN 46202-1239 |
| Ellen W Kaehr | Geriatric Medicine | Indiana University Health Care Associates Inc | 1633 N Capital Ave, The Indiana Clinic, Indianapolis, IN 46202-1261 |
| Anthony R Zabel | Family Medicine | Indiana University Health Care Associates Inc | 6866 W Stonegate Dr, Suite 100, Zionsville, IN 46077-8051 |
| Dawn D Stidham | Nurse Practitioner | Indiana University Health Care Associates Inc | 4001 W Goeller Blvd A, Columbus, IN 47201-8309 |
| Street Address |
1111 RONALD REAGAN PKWY |
| City | AVON |
| State | IN |
| Zip | 46123-7085 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Katherine Corey | Obstetrics/gynecology | University Obstetricians-gynecologists,inc | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Samilia Obeng-gyasi | General Surgery | University Surgeons Inc | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Ibrahim S Abu Romeh | Cardiovascular Disease (cardiology) | University Medical Diagnostic Associates Inc | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Lyree N Mikhail | Obstetrics/gynecology | Indiana University Health Care Associates Inc | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Sandra Bedwell | Registered Dietitian Or Nutrition Professional | Indiana University Health Care Associates Inc | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Peggy Chang | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Marcelino E Rivera | Urology | University Urologists Inc PC | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Chetan R Shukla | Anesthesiology | Anesthesia Consultants of Indianapolis LLC | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Michael S Byers | Cardiovascular Disease (cardiology) | Indiana University Health Inc | 1111 Ronald Reagan Pkwy, Rm 12028, Avon, IN 46123-7085 |
| Esther Mili Kim | Obstetrics/gynecology | University Obstetricians-gynecologists,inc | 1111 Ronald Reagan Pkwy, Avon, IN 46123-7085 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dannielle Christine Gilyan | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Heather Abbott | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jessica E Squires | Physician Assistant | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jennifer Dale | Nurse Practitioner | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Ibrar Faqir Paracha | Nephrology | Proactive Clinical Partners | 1108 Kingwood Dr, Avon, IN 46123-5500 |
| Jacquelyn H Patterson | Optometry | Wisconsin Vision Inc | 9655 E Us Hwy 36 E, Avon, IN 46123-6212 |
| Allison Elizabeth Williams | Physical Medicine and Rehabilitation | Integrated Rehab Consultants LLC | 762 N Dan Jones Rd, Countryside Meadows, Avon, IN 46123-6213 |
| Jody L Hirst | Clinical Social Worker | Pike Medical Consultants PC | 762 N Dan Jones Rd, Gericare Indy, Avon, IN 46123-6213 |
| Andrew J Scott | Podiatry | Preferred Podiatry Group PC | 762 N Dan Jones Rd, Avon, IN 46123-6213 |
| Ellery R Ho | Podiatry | Preferred Podiatry Group PC | 762 N Dan Jones Rd, Avon, IN 46123-6213 |
| Find all physicians in zip 46123 | |||
| City | AVON |
| Zip Code | 46123 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | AVON + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Benjamin D Petty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.