David A Petruska, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME103531 Issued in FL

Practice address

927 45TH St
Suite 204
West Palm Beach, FL 33407-2450

Phone

(561) 882-6214

Fax

(561) 882-6216

NPI assigned

Jan 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Louisville Neurosurgical Specialists, P.S.C.

  • Specialist
  • Louisville, KY
  • NPI 1225181639
  NPD (past) Authorized official
• Tenet Florida Physician Services LLC

  • Surgery Physician
  • West Palm Beach, FL
  • NPI 1659417467
  NPD (past)
• Tenet Florida Physician Services, LLC

  • Physical Therapist
  • West Palm Beach, FL
  • NPI 1699111211
  NPD (past)
• Neurosurgical Group of Greater Louisville and So in PSC

  • Specialist
  • Louisville, KY
  • NPI 1003951526
  NPD (past)

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1104979590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 PGA BLVD",
            "address_2": "SUITE 105",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183997",
            "telephone_number": "561-882-6214",
            "fax_number": "561-882-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 45TH ST",
            "address_2": "SUITE 204",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072450",
            "telephone_number": "561-882-6214",
            "fax_number": "561-882-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRUSKA",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "24702",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME103531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Mivida Petit-Homme, ARNP
• Ebony Petit, M.D.
• Evens Petit
• Tamara S Petrelli, LCSW
• Demetrios Petris
• Raquel Pfeffer
• Aaron Pfeifer
• Pgic Healthcare Inc (Prime Health Care Center)
• Khoa Pham, DPM
• Luan Dinh Pham, PHARMD

• Emergency Medicine Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.