Jeffrey Petty, DPM, PA

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1499 Issued in TX

Legal business name

JEFFREY PETTY, DPM, PA

Doing business as

Corsicana Foot Clinic

Practice address

3229 W 7TH Ave
Corsicana, TX 75110-4817

Phone

(903) 872-9910

Fax

(903) 874-8829

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Scott Petty, DPM

Title

Owner

Phone

(903) 872-9910

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Corsicana Foot Clinic Doing business as

Locations

Practitioners 1

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

• Brian D Battles, DPM

  • Foot & Ankle Surgery Podiatrist
  • Waco, TX
  • NPI 1194790303
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1982628533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1774",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751511774",
            "telephone_number": "903-872-9910",
            "fax_number": "903-874-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3229 W 7TH AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751104817",
            "telephone_number": "903-872-9910",
            "fax_number": "903-874-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY PETTY, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-872-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183236201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018605801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "DF1159",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corsicana Foot Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James K Hall, Jr MD PA
• Alyssa Brooke Janecka, PHARMD
• Courtney Janick
• Jazsa 5, LLC (287 Therapy)
• Julianne Venise Jefferson, LVN
• Kevin Wesley Jeffries, LCDC
• Jenica Senior Transportation Service
• McKenzie Grace Jenkins
• Thomas Joseph Jennings, MD
• Meredith A Johnston, M.D.

• Durable Medical Equipment & Medical Supplies in Corsicana, TX
• Providers in Corsicana, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.