CAROL PETKE NPI 1316293822

NPI Information

NPI: 1316293822
Provider Name: CAROL PETKE
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: OSU EMERGENCY MEDICINE LLC

PECOS Registration: Yes

Address:
376 W 10TH AVE
791 PRIOR HALL
COLUMBUS, OH
ZIP 43210
Phone: (614) 293-8305
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Carol Petke is a family nurse practitioner in Columbus, OH with 12 years of experience. Carol Petke NPI is 1316293822. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

376 W 10TH AVE
791 PRIOR HALL
COLUMBUS, OH
ZIP 43210-280
Phone: (614) 293-8305

The NPI 1316293822 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 enumeration date for this NPI number is 8/2/2012 and was last updated on 9/13/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN341177	OHIO	No
2	363LF0000X	Nurse Practitioner	Family	13711	OHIO	Yes

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

NPI Synchronization or Removal

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