Christine A Petty, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32496-020 Issued in WI

Practice address

6501 S Fiddlers Green Cir
Suite 320
Greenwood Village, CO 80111-4931

Phone

(303) 824-7266

Fax

(303) 824-7212

NPI assigned

May 30, 2005

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273104000000",
    "number": "1417950932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 SOUTH FIDDLER'S GREEN CIRCLE",
            "address_2": "SUITE 320",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114931",
            "telephone_number": "303-824-7266",
            "fax_number": "303-824-7212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 S FIDDLERS GREEN CIR",
            "address_2": "SUITE 320",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114931",
            "telephone_number": "303-824-7266",
            "fax_number": "303-824-7212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTY",
        "first_name": "CHRISTINE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2010-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "32496-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rylen Peterson
• Stephanie B Peterson, LPC
• Meagan J Petraitis, O.D.
• Cassidy Petri, PA-S
• Jacqueline Marie Pettus, PTA
• Amanda Phannadeth
• Pharmaca Integrative Pharmacy, Inc.
• Pharmastay PLLC
• Angela A Phelps, RN
• Philippe G Lopez MD PC

• Family Medicine Physician in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; 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.