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DR. TRENT LEON PETTIJOHN MD NPI 1265468706


NPI Information

NPI: 1265468706
Provider Name: DR. TRENT LEON PETTIJOHN, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Organization: HEALTHTEXAS PROVIDER NETWORK

PECOS Registration: Yes

Address:
6300 W PARKER RD
MOB II 125
PLANO, TX
ZIP 75093
Phone: (469) 800-4400
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DR. Trent Leon Pettijohn, MD is a cardiovascular disease internal medicine in Plano, TX with 32 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Trent Leon Pettijohn, MD NPI is 1265468706. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

6300 W PARKER RD
MOB II 125
PLANO, TX
ZIP 75093-100
Phone: (469) 800-4400
Fax: (469) 800-4410

The NPI 1265468706 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.

  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart (HCPCS:93458)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/30/2012.


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
1207R00000XInternal MedicineJ4433TEXASNo
2207U00000XNuclear MedicineJ4433TEXASNo
3207UN0901XNuclear MedicineNuclear CardiologyJ4433TEXASNo
4207RC0000XInternal MedicineCardiovascular DiseaseJ4433TEXASYes

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
18739N2MEDICARE PINTEXAS
2TXB138365MEDICARE PINTEXAS
38740N0MEDICARE PINTEXAS
4060065712MEDICARE PINTEXAS
5036498602MEDICAIDTEXAS
6036498603MEDICAIDTEXAS
78741N3MEDICARE PINTEXAS
8060065698MEDICARE PINTEXAS
9P01010991MEDICARE PINTEXAS
108CX370OTHERTEXASBCBSTX
11060065687MEDICARE PINTEXAS
12036498604MEDICAIDTEXAS
13G70165MEDICARE UPINTEXAS
14036498605MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.