Anita L Petteway MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME69729 Issued in FL

Legal business name

ANITA L PETTEWAY MD PA

Practice address

150 NW 168TH St Ste 301
North Miami Beach, FL 33169-6051

Phone

(305) 944-8887

Fax

(877) 488-9590

NPI assigned

Mar 31, 2006

Last updated

Aug 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dorenda Washington

Title

Director of Operations

Phone

(305) 944-8887

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anita Petteway, MD

  • Internal Medicine Physician
  • North Miami Beach, FL
  • NPI 1407045644
  NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1558322289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 NW 168TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696051",
            "telephone_number": "305-944-8887",
            "fax_number": "877-488-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 NW 168TH ST STE 301",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331696051",
            "telephone_number": "305-944-8887",
            "fax_number": "877-488-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA L PETTEWAY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "DORENDA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "305-944-8887",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102803",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Miguel Andino, APRN
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• Weedny Andre
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• Rovern Anthony, MD, DPM
• Angelique Antoine
• Durozier Antoine, ACUPUNCTURIST
• Jodelene Antoine
• Marie Antoine

• Internal Medicine Physician in North Miami Beach, FL
• Providers in North Miami Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.