George Walter Pettit, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

F9946 Issued in TX

Practice address

11411 FM 1960 Rd W
Houston, TX 77065-3610

Phone

(281) 890-0792

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 Medicine

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 and National Provider Directory roles.

• Right Choice Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Cypress, TX
  • NPI 1265194138
  Medicare reassignment NPD
• Acs Primary Care Physicians Southwest, PA

  • Emergency Medicine Physician
  • Gainesville, TX
  • NPI 1538101019
  NPD (past)
• Brazos Emergency Physicians, PA

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1205948635
  NPD (past)
• Emcare Iah Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Houston, TX
  • NPI 1770533804
  NPD (past)
• Fort Bend Emergency Associates PA

  • Emergency Medicine Physician
  • Katy, TX
  • NPI 1487856886
  NPD (past)
• Humble Emergency Physicains Professional Association

  • Emergency Medicine Physician
  • Humble, TX
  • NPI 1013930973
  NPD (past)
• Erie Banks Emergency Physicians LLC

  • Emergency Medicine Physician
  • Willoughby, OH
  • NPI 1801105366
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1225044936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15814 CASCADING BROOK WAY",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335558",
            "telephone_number": "713-253-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 FM 1960 RD W",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653610",
            "telephone_number": "281-890-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "GEORGE",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "F9946",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "F9946",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX PROVIDER NUMBER",
            "identifier": "8G7966",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dorothy Carol Pettigrew, PSY. D
• Haileigh Pettigrew, LPC
• Roslynn Pettigrew, LCSW
• Pettis Counseling, PLLC
• Renee Delise Pettis, PA-C
• Makenzie Pettit
• Nathan James Pettit, D.M.D., M.S.D.
• Breanna Marie Pettus
• Deborah Pettway
• Sharon Kay Tucker Pettway, MD

• Internal Medicine Physician in Houston, TX
• Providers in Houston, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.