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GRANT DOUGLAS PETTY MD NPI 1154438315


NPI Information

NPI: 1154438315
Provider Name: GRANT DOUGLAS PETTY, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
5221 US ROUTE 60 EAST
HUNTINGTON, WV
ZIP 25705
Phone: (304) 522-1550
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Grant Douglas Petty, MD is a diagnostic radiology radiology in Huntington, WV with 23 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Grant Douglas Petty, MD NPI is 1154438315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

5221 US ROUTE 60 EAST
HUNTINGTON, WV
ZIP 25705-022
Phone: (304) 522-1550
Fax: (304) 522-0704

The NPI 1154438315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Ct scan head or brain (HCPCS:70450)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Mammography of both breasts (HCPCS:77067)
  • Ct scan of abdomen and pelvis (HCPCS:74176)
  • Ct scan chest (HCPCS:71250)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound of head and neck (HCPCS:76536)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Ct scan of face (HCPCS:70486)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of knee, 3 views (HCPCS:73562)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound pelvis through vagina (HCPCS:76830)

The enumeration date for this NPI number is 8/24/2006 and was last updated on 1/8/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology40841KENTUCKYNo
22085R0202XRadiologyDiagnostic Radiology35089226OHIONo
32085R0202XRadiologyDiagnostic Radiology052617GEORGIANo
42085R0202XRadiologyDiagnostic Radiology22682WEST VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I60363MEDICARE UPIN
23810008705MEDICAIDWEST VIRGINIA
34205971MEDICARE PINWEST VIRGINIA
47389831OTHERAETNA
50683128MEDICARE PINKENTUCKY
650017454OTHERKENTUCKYPASSPORT
77100014760MEDICAIDKENTUCKY
8000000221879OTHEROHIOUNISON
9001962777OTHERWEST VIRGINIAMTN ST BCBS
10P00413759OTHERWEST VIRGINIARR MEDICARE
112732556MEDICAIDOHIO
12550493376 00OTHERWEST VIRGINIAWV WORKER'S COMPENSATION
134205961MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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