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NPI · 1316268386 · NPPES-sourced

Charles Robert Pettit MD A Medical Corporation

ActiveOtolaryngology/Facial Plastic Surgery Physician
NPI Number
1316268386
Type 2 · Organisation
Contact
(707) 284-9200
Primary practice line
Last Updated
About 10 years ago (Aug 2015)
Enumerated 2010-06-14
Primary practice addressCA · 95403-8217
175 Concourse BlvdSanta Rosa, CA 95403-8217
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About this NPIWhat this record shows.

NPI 1316268386 is registered to Charles Robert Pettit MD A Medical Corporation, a healthcare organisation classified as "Otolaryngology/Facial Plastic Surgery Physician" and located at 175 Concourse Blvd in Santa Rosa, California. The organisation's authorised official is Charles Pettit. The organisation has been enumerated in the NPI registry since 2010.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2010-06-14
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Charles Robert Pettit MD A Medical Corporation accepts. To confirm in-network status with your specific health plan, contact Charles Robert Pettit MD A Medical Corporation directly at (707) 284-9200.

Frequently asked

Yes. NPI 1316268386 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Otolaryngology/Facial Plastic Surgery Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (707) 284-9200.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Charles Robert Pettit MD A Medical Corporation is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy207YX0905X
Last updated2015-08
Enumerated2010-06-14
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Otolaryngology/Facial Plastic Surgery Physician providers in California.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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