MD Grant Douglas Petty, NPI 1154438315
Diagnostic Radiology Physician in Huntington, WV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1154438315
NPI Entity Type Individual
Provider Name MD Grant Douglas Petty
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 5221 Us Route 60 East, Huntington, WV, US
Provider Mailing Address Po Box 910, Huntington, WV, US, 257120910
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

2085R0202X

Taxonomy Name Diagnostic Radiology Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License No. 22682
License State WV
Description A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

MD Grant Douglas Petty
5221 Us Route 60 East

Huntington, WV, US

Phone: 304-522-1550
Fax: 304-522-0704

Mailing Address

MD Grant Douglas Petty
Po Box 910
Huntington, WV, US
ZIP 257120910
Phone: 304-522-1550
Fax: 304-522-0704

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

40841 KY No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

35089226 OH No

2085R0202X

Allopathic & Osteopathic Physicians

Radiology

052617 GA No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
550493376 00 WV WV WORKER'S COMPENSATION 01
7389831 AETNA 01
3810008705 WV MEDICAID 05
50017454 KY PASSPORT 01
P00413759 WV RR MEDICARE 01
000000221879 OH UNISON 01
2732556 OH MEDICAID 05
7100014760 KY MEDICAID 05
001962777 WV MTN ST BCBS 01

Other Providers in WV, US

NPI Name Taxonomy Address

1255056628

Jennifer Knight

Individual

Home Health Registered Nurse

829 Fairmont Rd

Morgantown, WV

1154046514

MR. Wayne Matthew Bachelor

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Peer Specialist

1057 6th Ave

Huntington, WV

1730804188

Melissa Jones

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1114642568

Gideon Mossor

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1982329330

Tanisha Wilson

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1164147500

Deloris Ann Hopkins

Individual

Home Health Aide

42 Parrish Ln

Ashford, WV

1255056693

Elizabeth Neal

Individual

Homemaker

1614 S Kanawha St

Beckley, WV

1629793054

Luke Petrice

Individual

Case Manager/Care Coordinator

710 Maple St

Elkins, WV

1588389910

Joshua Riley

Individual

Community Health Worker

200 Association Dr Ste 130

Charleston, WV

1992420319

Karie Morrison

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1275258691

Katelyn Lucas

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1558086975

Jenna Taylor

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1740905165

Tisean Jayree Walker

Individual

Personal Care Attendant

1650 Glenway Ln

Huntington, WV

1922723345

Montana Wallace

Individual

Personal Care Attendant

10 6th Ave W

Huntington, WV

1033834452

Natasha Sharon Sexton

Individual

Personal Care Attendant

400 Bluefield St Lot 16

Wayne, WV

1770208191

Katheryn Joyce Bailey

Individual

Personal Care Attendant

1236 Madison Ave

Huntington, WV

1518682939

Alexis Perry

Individual

Personal Care Attendant

712 Mercer St Ste D

Princeton, WV

1174248587

Stevie Dawn Cline

Individual

Personal Care Attendant

695 Mountaineer Hwy

Mullens, WV

1003531419

Britney Brogan

Individual

School Registered Nurse

267 Midway Rd

Alum Creek, WV

1689399099

Mary Mccullough

Individual

Personal Care Attendant

1599 2nd Ave

Charleston, WV

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