Grant Petty (NPI# 1154438315, PAC ID# 9335145408) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1154438315 |
| PAC ID by PECOS | 9335145408 |
| Professional Enrollment ID | I20070516000061 |
| Full Name | Grant Petty |
| Organization Legal Name | RADIOLOGY INC |
| Address |
5897 State Rt 7 Three Gable Surgi Ctr Proctorville OH 45669 |
| Phone Number | 7408869911 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2365340429 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510055 | CABELL HUNTINGTON HOSPITAL INC |
| 510007 | ST MARY'S MEDICAL CENTER |
| 510048 | LOGAN REGIONAL MEDICAL CENTER |
| 180128 | THREE RIVERS MEDICAL CENTER |
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 400 Court St, Suite 303, Charleston, WV 25301-1654 | 3045507745 | PREMIER IMAGING AND INTERVENTION, PLLC |
| 2900 1st Ave, Huntington, WV 25702-1241 | 3045261140 | RADIOLOGY INC |
| 5221 Us Route 60 E, Huntington, WV 25705-2022 | 3045221550 | RADIOLOGY INC |
| 20 Hospital Dr, Logan, WV 25601-3452 | 3018311200 | RADIOLOGY INC |
| 2483 Hwy 644, Louisa, KY 41230-9242 | 6066381507 | RADIOLOGY INC |
| 5000 Ky Route 321, Prestonsburg, KY 41653-9113 | 6068867581 | RADIOLOGY INC |
| 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 | 7408869911 | RADIOLOGY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | RADIOLOGY INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holley Elizabeth Donahue | Nurse Practitioner | Radiology Inc | 5221 Us Route 60 E, Huntington, WV 25705-2022 |
| Joshua Dale Gibson | Diagnostic Radiology | Radiology Inc | 2483 Hwy 644, Louisa, KY 41230-9242 |
| Torin Patrick Walters | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Joseph Werner Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Hans Gerhard Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Jason G Fikes | Physician Assistant | Radiology Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Paul Henry Blom | Interventional Radiology | Radiology Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Nathan Randall Hatfield | Interventional Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Marsha S Anderson | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Ricky Jack Compton | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Street Address |
5897 STATE RT 7 THREE GABLE SURGI CTR |
| City | PROCTORVILLE |
| State | OH |
| Zip | 45669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Torin Patrick Walters | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Joseph Werner Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Hans Gerhard Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Nathan Randall Hatfield | Interventional Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Marsha S Anderson | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Ricky Jack Compton | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Nathan Scott Hill | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Matthew Edward Maxwell | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Rodger Alan Blake | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Eric Lawrence Leonard | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald Ryan Lewis Jr. | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| William Sol Sheils Jr. | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Robert Joseph Cure | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Anita K Wippel | Nurse Practitioner | Proctorville Health Care, LLC | 501 State St, Proctorville, OH 45669-3015 |
| Daniel J Carey Ii | Chiropractic | 200 State St, Proctorville, OH 45669-5090 | |
| Holly Anne Morning-fannin | Nurse Practitioner | University Physicians and Surgeons, Inc | 7718 County Rd, Suite 107, Proctorville, OH 45669-7928 |
| Linda M Savory | Family Medicine | University Physicians and Surgeons, Inc | 7718 County Rd, Suite 107, Proctorville, OH 45669-7928 |
| Mittra Esmaeili | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
| Glen Davis | Internal Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
| Elizabeth Bentley | Family Medicine | Holzer Clinic LLC | 98 State St, Proctorville, OH 45669-8163 |
| Find all physicians in zip 45669 | |||
| City | PROCTORVILLE |
| Zip Code | 45669 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | PROCTORVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Grant 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.