Christine Petzing, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-105731 Issued in IL

Practice address

2675 Tampa Rd
Palm Harbor, FL 34684-3109

Phone

(727) 467-7423

NPI assigned

Sep 21, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, FL2 enrollments

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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• The Hospice of the Florida Suncoast, Inc.

  • Community Based Hospice Care Agency
  • Palm Harbor, FL
  • NPI 1124028204

  W-2 Managing Employee

  CMS ownership

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.

• Empath Community Health LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pinellas Park, FL
  • NPI 1669817516
  Medicare reassignment NPD
• The Hospice of the Florida Suncoast, Inc.

  • Community Based Hospice Care Agency
  • Palm Harbor, FL
  • NPI 1124028204

  Family Medicine

  Medicare reassignment NPD
• Empath Health Pharmaceuticals, LLC

  • Community/Retail Pharmacy
  • Largo, FL
  • NPI 1407257470
  NPD
• St Mary Medical Center

  • Family Medicine Physician
  • Galesburg, IL
  • NPI 1457308710
  NPD (past)
• The Outer Banks Hospital Inc

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Manteo, NC
  • NPI 1245291046
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1346348265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6310 CAPITAL DR",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025013",
            "telephone_number": "727-467-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843109",
            "telephone_number": "727-467-7423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5771 Roosevelt Blvd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337603407",
            "country_code": "US",
            "telephone_number": "941-275-0581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETZING",
        "first_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-105731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113122100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Persaud, APRN
• Jose Miguel Pestana, D.O.
• Peter T Dinapoli MD PA
• Alina Peterson
• Lori Peterson
• Theresa Pham, DC
• Pharmaoverseas LLC
• Pharos Management Group
• Donna Phillips, RPT
• Physiotherapy Associates Inc

• Family Medicine Physician in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.