John Petty


Address: 3535 Southern Blvd, Kettering, OH 45429-1221

John Petty (NPI# 1083665343, PAC ID# 6103850029) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.

Physician Overview

Nation Provider ID (NPI) 1083665343
PAC ID by PECOS 6103850029
Professional Enrollment ID I20120208000948
Full Name John Petty
Address 3535 Southern Blvd
Kettering
OH 45429-1221
Gender M
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1975
Primary Specialty PHYSICAL MEDICINE AND REHABILITATION
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360079 KETTERING MEDICAL CENTER

Other Locations

Address Phone Organization
3535 Southern Blvd, Kettering, OH 45429-1221

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 94%

Organization Information

Office Location

Street Address 3535 SOUTHERN BLVD
City KETTERING
State OH
Zip 45429-1221

Physicians in the same location

Name Specialty Organization Address
Sylvia Polenakovik Internal Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Swathi Datla Family Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Jeremy L Chapman Internal Medicine Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45428-1221
Timberly De Ann Harvey Certified Registered Nurse Anesthetist (crna) Kettering Anesthesia Associates, Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Chalana U Gunawardena Hospitalist Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45428-1221
Julia Anne Balandiat Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Nicole K Hammock Nurse Practitioner South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
David B Jackson Emergency Medicine Emergency Medicine Specialists Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Kelley Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Daniel Lucian Butnariu Critical Care (intensivists) South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Michael David Johnson General Surgery Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Benjamin Gentry Pathology Kettering Pathology Associates Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Bradley A. Wisler Anesthesiology Kettering Anesthesia Associates, Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Michael Caccamo Diagnostic Radiology Kettering Network Radiologists Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Lori E Bickett Nurse Practitioner South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Ersie Pouagare Pathology Regional Pathology Services Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Renjini Rachel Thomas Internal Medicine South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Scott J Arnold Pathology Regional Pathology Services Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Valerie A Aliu Internal Medicine South Dayton Acute Care Consultants, Inc 3535 Southern Blvd, Dayton, OH 45429-1221
Justin Stafford Physician Assistant Alliance Physicians Inc 3535 Southern Blvd, Kettering, OH 45429-1221
Find all physicians in zip 45429

Competitor

Search similar physicians

City KETTERING
Zip Code 45429
Specialty PHYSICAL MEDICINE AND REHABILITATION
City + Specialty KETTERING + PHYSICAL MEDICINE AND REHABILITATION

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Dataset Information

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.

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