Mary E. Pettit, P.A.-C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C04291 Issued in MD

Practice address

1301 2ND Ave SW
Largo, FL 33770-3120

Phone

(727) 581-8767

Fax

(727) 581-2739

NPI assigned

Jun 30, 2006

Last updated

Oct 28, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HFFDAD

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.

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  • Bradenton, FL
  • NPI 1699013524
  NPD (past)
• Patrick J Grablin MD PA

  dba Grablin Orthopaedic Surgery

  • Orthopaedic Surgery Physician
  • Bradenton, FL
  • NPI 1720053127
  NPD (past)
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Vann-Virginia Center for Orthopaedics PC

  dba Atlantic Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Virginia Beach, VA
  • NPI 1184666877
  NPD (past)
• Vann-Virginia Center for Orthopaedics PC

  dba Atlantic Orthopaedic Specialists

  • Orthopaedic Surgery Physician
  • Kill Devil Hills, NC
  • NPI 1669169983
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1083643548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64664",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644664",
            "telephone_number": "410-550-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 2ND AVE SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703120",
            "telephone_number": "727-581-8767",
            "fax_number": "727-581-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "MARY",
        "middle_name": "E.",
        "name_prefix": "Ms.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C04291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Enrichment Through Mental Health Services, Inc. (Pemhs,Inc.)
• Peter M Mason DPM
• Andrew Peters, M.D.
• Morgan Peterson, D.O.
• Carl Edward Petrilli, DO
• Christina Pham
• Vy Thao Pham, DO
• Pharmacy Corporation of America (Pharmerica)
• Philip L. Shettle D.O., P.a.
• Philip W Christ DO PA

• Physician Assistant in Largo, FL
• Providers in Largo, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.