Michael J Pettit (NPI# 1215013891, PAC ID# 9335124072) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1215013891 |
| PAC ID by PECOS | 9335124072 |
| Professional Enrollment ID | I20040618000715 |
| Full Name | Michael J Pettit |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF NORTH TEXAS PA |
| Address |
800 W Magnolia Ave 100 Pet Center of Ftw Fort Worth TX 76104-4611 |
| Phone Number | 8173210937 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
| Graduation Year | 1999 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7911897301 |
| Number of Group Practice Members | 212 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450039 | JPS HEALTH NETWORK |
| Address | Phone | Organization |
|---|---|---|
| 1500 S Main St, Fort Worth, TX 76104-4917 | 8173210937 | RADIOLOGY ASSOCIATES OF NORTH TEXAS PA |
| 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 | 8173210937 | RADIOLOGY ASSOCIATES OF NORTH TEXAS PA |
| Organization Legal Name | RADIOLOGY ASSOCIATES OF NORTH TEXAS PA |
| Physicians | 202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David W Reading | Diagnostic Radiology | Radiology Associates of North Texas Pa | 815 Pennsylvania Ave, Fort Worth, TX 76104-2224 |
| Kelly C Roberts | Diagnostic Radiology | Radiology Associates of North Texas Pa | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Lulu L Tenorio | Diagnostic Radiology | Radiology Associates of North Texas Pa | 1429 Clear Lake Rd, Suite 400, Weatherford, TX 76086-8803 |
| Maria P Ravanzo | Physician Assistant | Radiology Associates of North Texas Pa | 906 W Cannon St, Suite A, Fort Worth, TX 76104-3031 |
| Rudolph H Miller Iii | Diagnostic Radiology | Radiology Associates of North Texas Pa | 8200 Walnut Hill Lane, Th Presbyterian Hospital of Dallas, Dallas, TX 75231-4426 |
| Thomas Gerald Gates | Diagnostic Radiology | Radiology Associates of North Texas Pa | 17980 Dallas Pkwy, Suite 200, Dallas, TX 75287-6817 |
| William G Horstman | Diagnostic Radiology | Radiology Associates of North Texas Pa | 11906 Gallant Ridge Ln, Houston, TX 77082-6820 |
| William C Sory | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| John A Queralt | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Randol Mill Rd, Arlington, TX 76012-2504 |
| Robert J Reeb Jr. | Diagnostic Radiology | Radiology Associates of North Texas Pa | 1301 Pennsylvania Ave, Fort Worth, TX 76104-2122 |
| Street Address |
800 W MAGNOLIA AVE 100 PET CENTER OF FTW |
| City | FORT WORTH |
| State | TX |
| Zip | 76104-4611 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William C Sory | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| Pamela Hwang | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| Uday S Kanamalla | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| De Ette Ray Vasques | Gynecological Oncology | Oncology-hematology Consultants Pa | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 |
| Helena M Iannaccone | Nurse Practitioner | Oncology-hematology Consultants Pa | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 |
| Hayden W Head Iii | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| Steven L Fields | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| Harry Parvey | Diagnostic Radiology | Radiology Associates of North Texas Pa | 800 W Magnolia Ave, 100 Pet Center of Ftw, Fort Worth, TX 76104-4611 |
| Kimberly M Faught | Nurse Practitioner | Oncology-hematology Consultants Pa | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 |
| Bibas Reddy | Medical Oncology | Oncology-hematology Consultants Pa | 800 W Magnolia Ave, Fort Worth, TX 76104-4611 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven E Prouty | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Ginna K Kaplan | Clinical Social Worker | Deer Oaks Geriatric Services P C | 424 S Adams, Fort Worth, TX 76104-1003 |
| Prashanthi J Giridhar | Ophthalmology | Pediatric Eye Specialists LLP | 321 S Henderson St, Fort Worth, TX 76104-1016 |
| Bowlva Michael Lee | Pain Management | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Travis A Foster | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Joseph Elvis Guinn | Vascular Surgery | 412 S Henderson St, Fort Worth, TX 76104-1017 | |
| Bryan J Skulpoonkitti | Anesthesiology | Institute of Spine and Pain Solutions Pllc | 416 S Henderson St, Fort Worth, TX 76104-1017 |
| Jonathan D Riddle | Certified Registered Nurse Anesthetist (crna) | 412 S Henderson St, Fort Worth Vascular Surgical, Fort Worth, TX 76104-1017 | |
| Karim M Meghani | Physical Medicine and Rehabilitation | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Catherine A Colquitt | Infectious Disease | 425 Alabama Ave, Fort Worth, TX 76104-1022 | |
| Find all physicians in zip 76104 | |||
| City | FORT WORTH |
| Zip Code | 76104 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | FORT WORTH + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Michael J Pettit.
| 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.