Petty Orthopaedics, PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD0000036400 Issued in TN

Legal business name

PETTY ORTHOPAEDICS, PC

Practice address

2021 Church St
Suite 610
Nashville, TN 37203-2021

Phone

(615) 620-3260

Fax

(615) 620-3266

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Damon H Petty, M.D.NPI 1861452195

Title

President

Phone

(615) 620-3260

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Damon H Petty, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Nashville, TN
  • NPI 1861452195
  NPD (past) Authorized official

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1326357252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST STE 610",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032059",
            "telephone_number": "615-620-3260",
            "fax_number": "615-620-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 CHURCH ST",
            "address_2": "SUITE 610",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032021",
            "telephone_number": "615-620-3260",
            "fax_number": "615-620-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETTY ORTHOPAEDICS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-620-3260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD0000036400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3732245",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Anne Petruny, PA-C
• Rachael Waks Petry, M.D.
• Laura Pettibon
• April Pettit, MD, MPH
• Michael Pettit
• Damon H Petty, MD
• Leslie Megan Petty, NP
• Taylor Austin Petty, DO
• Justin Kyle Petway, ,RPH, PHARMD
• Jamie Lynn Pfaff, MD

• Specialist in Nashville, TN
• Providers in Nashville, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.