Theron Pettit, MD

ActiveIndividual ProviderInternal Medicine
NPI issued: December 2, 2005

Quick Facts

NPI Number
1245214279
TypeIndividual
StatusActive
SpecialtyInternal Medicine
Taxonomy207R00000X — Internal Medicine
Phone
(407) 864-3051
StateWA

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1245214279)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (December 2, 2005)
Data source: CMS NPPES

Provider Overview

THERON PETTIT, MD is a Internal Medicine provider based in Vancouver, WA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1245214279
Provider TypeIndividual Provider
GenderMale
CredentialMD
StatusActive
Enumeration DateDecember 2, 2005

Practice Location

CityVancouver
StateWA
ZIP Code98664-4896
Phone(407) 864-3051

Specialties & Licenses

★ Primary
SpecialtyInternal Medicine
Taxonomy Code207R00000X
License StateWA

Mailing Address

CityVancouver
StateWA
ZIP Code98664-4896
Phone(407) 864-3051
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1245214279 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1245214279for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1245214279 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Internal Medicine

Internal Medicine physicians (internists) specialize in the prevention, diagnosis, and nonsurgical treatment of adult illnesses, managing complex chronic conditions and multi-system diseases.

Browse all Internal Medicineproviders →
📊
213,549
Internal Medicine Providers in the US

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People Also Ask

What is Theron Pettit's NPI number?
Theron Pettit's NPI number is 1245214279, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Theron Pettit's NPI currently active?
Yes, Theron Pettit's NPI status is Active as of the latest CMS NPPES database updates.
What does Theron Pettit specialize in?
Theron Pettit specializes in Internal Medicine. The healthcare taxonomy code associated with this specialty is 207R00000X.
Where does Theron Pettit practice?
Theron Pettit practices in Vancouver, WA 98664-4896.
When was Theron Pettit's NPI issued?
Theron Pettit's NPI was issued on December 2, 2005.
What is Theron Pettit's provider type?
Theron Pettit is registered as an Individual Provider under CMS NPI Type 1.