Carolyn K Pettit, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

20042 Issued in AZ

Practice address

9003 E Shea Blvd
Department of Pathology
Scottsdale, AZ 85260-6709

Phone

(480) 323-3383

Fax

(480) 323-3358

NPI assigned

Mar 3, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1063489474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740968",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753740968",
            "telephone_number": "480-323-3383",
            "fax_number": "480-323-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 E SHEA BLVD",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606709",
            "telephone_number": "480-323-3383",
            "fax_number": "480-323-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "CAROLYN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AZ",
            "license": "20042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187056",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Petronzio, RPH
• Arkady Petrosyan, MAS-MFT, LMFT
• Juliana Petrovic
• Lorene Marie Petta, PSY.D.
• Adrienne B Pettit, D.O.
• Heidi Petts, RN
• Joe D Petty III
• Revi D Pexa, PA-C
• Alissia Marguerite Pfeiffer, NMD
• Nicholaus C Pfeiffer, MD

• Anatomic Pathology & Clinical Pathology Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Anatomic Pathology & Clinical Pathology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.