Active NPI
Sharon Petty, MD
- Family Medicine Physician
- New Castle, DE
National Provider Identifier
1285055780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C1-0004017
- Practice address
- 147 Quigley Blvd Ste 10282
New Castle, DE 19720-4103 - Phone
- (302) 858-8464
- NPI assigned
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C1-0004017 | DE | Primary |
Addresses
Primary practice location
147 Quigley Blvd Ste 10282
New Castle, DE 19720-4103
Mailing address
PO Box 10282
Wilmington, DE 19850-0282
Phone (302) 858-8464
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0004017 | DE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586908800000",
"number": "1285055780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10282",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198500282",
"telephone_number": "302-858-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 QUIGLEY BLVD STE 10282",
"city": "NEW CASTLE",
"state": "DE",
"postal_code": "197204103",
"telephone_number": "302-858-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTY",
"first_name": "SHARON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2020-04-15",
"certification_date": "2020-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DE",
"license": "C1-0004017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Castle, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.