Gregory J Pettaway II MD

  • NPI 1851701841
According to our database, the NPI number for Gregory J Pettaway II MD is 1851701841 and activated since 10 years ago. Gregory J Pettaway II MD is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 615 N Michigan St, South Bend, IN 46601. You can also contact Gregory J Pettaway II MD via telephone number is (574) 647-1000. Provider NPI information was last updated on 08/22/2017.

Recently Active NPIs

Overview of Gregory J Pettaway II MD

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/30/2014
  • Last updated: 08/22/2017

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: unknow
  • License State: unknow

Provider Mailing Address

  • Address: 615 N Michigan St
    South Bend, IN 46601
  • Phone: (574) 647-1817
  • Fax: 574-647-3962

Provider Practice Location

  • Address: 615 N Michigan St
    South Bend, IN 46601
  • Phone: 574-647-1000
  • Fax:

Scope of Practice

  • Taxonomy Code: 207P00000X
  • Specialty: Emergency Medicine
  • License Number: 01078046A
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 941030008
  • Identifier Type: Other
  • Identifier State: IN
  • Issuer: MEDICARE PTAN

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Gregory J Pettaway II MD?
  • A: The npi number for Gregory J Pettaway II MD is 1851701841.
  • Q: What are Gregory J Pettaway II MD's specialties?
  • A: Gregory J Pettaway II MD's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for Gregory J Pettaway II MD?
  • A: The medical license number for Gregory J Pettaway II MD is unknow and issued in unknow in USA.
  • Q: Where is Gregory J Pettaway II MD practice location?
  • A: Gregory J Pettaway II MD is practicing at 615 N Michigan St, South Bend, IN 46601.
  • Q: How to contact Gregory J Pettaway II MD?
  • A: You can contact Gregory J Pettaway II MD via 574-647-1000.