Darrell W. Petz, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS004500L Issued in PA

Practice address

1621 Union Ave
Natrona Heights, PA 15065-2144

Phone

(724) 224-6700

Fax

(724) 224-8005

NPI assigned

Nov 7, 2005

Last updated

Feb 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upmc Community Medicine, Inc

  dba Stull, Jarvis and Spinola Internal Medicine Associates - UPMC

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1558976092
  Medicare reassignment NPD
• Upmc Community Medcine Inc

  dba Hermitage Family Practice - UPMC

  • Family Medicine Physician
  • Hermitage, PA
  • NPI 1023806676
  NPD
• Upmc Community Medicine Inc

  dba Horizon Physiatry UPMC

  • Physical Medicine & Rehabilitation Physician
  • Hermitage, PA
  • NPI 1265568695
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1053392225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 UNION AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652144",
            "telephone_number": "724-224-6700",
            "fax_number": "724-224-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 UNION AVE",
            "city": "NATRONA HEIGHTS",
            "state": "PA",
            "postal_code": "150652144",
            "telephone_number": "724-224-6700",
            "fax_number": "724-224-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETZ",
        "first_name": "DARRELL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS004500L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0010307840009",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Eve Paul, DMD
• Surendra V Pawar, MD
• Claire Payne, OTD, OTR/L
• Pennsylvania Anesathesia Providers Inc
• Pennsylvania CVS Pharmacy, L.L.C. (CVS Pharmacy #05103)
• Jeremy Phillips, MS
• Phoenix Rehabilitation and Health Services, Inc.
• Stacey L Pierce, PA-C
• William Pileggi, CRNA
• Taylor Platt, PHARM.D, MHSA

• Internal Medicine Physician in Natrona Heights, PA
• Providers in Natrona Heights, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.