Active NPI
Jeffrey A Petrinitz, DPM
- Podiatrist
- Greensboro, NC
National Provider Identifier
1487750980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 212
- Practice address
- 2706 Saint Jude St
Greensboro, NC 27405-3670 - Phone
- (336) 375-6990
- Fax
- (336) 375-0361
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 212 | NC | Primary |
Addresses
Primary practice location
2706 Saint Jude St
Greensboro, NC 27405-3670
Mailing address
2706 Saint Jude St
Greensboro, NC 27405-3670
Phone (336) 375-6990
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54073 | Other | MEDCAST | |
| 67229 | Other | BCBS | |
| 8967229 | Medicaid | NC |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278806400000",
"number": "1487750980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2706 SAINT JUDE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053670",
"telephone_number": "336-375-6990",
"fax_number": "336-375-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2706 SAINT JUDE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053670",
"telephone_number": "336-375-6990",
"fax_number": "336-375-0361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRINITZ",
"first_name": "JEFFREY",
"middle_name": "A",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-15",
"last_updated": "2010-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NC",
"license": "212",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCAST",
"identifier": "54073",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "67229",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8967229",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.