WILLIAM MCCANDLESS PETTY MD NPI 1841345501

NPI Information

NPI: 1841345501
Provider Name: WILLIAM MCCANDLESS PETTY, MD
Classification: Obstetrics & Gynecology - 207VX0201X
Entity Type: Individual

Specialization: Gynecologic Oncology

Address:
MEDICAL CENTER BLVD
WINSTON-SALEM, NC
ZIP 27157
Phone: (336) 716-2255
Get Directions

William Mccandless Petty, MD is a gynecologic oncology obstetrics gynecology in Winston-salem, NC. The provider is an obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. William Mccandless Petty, MD NPI is 1841345501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON-SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The enumeration date for this NPI number is 1/24/2007 and was last updated on 8/18/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VX0201X	Obstetrics & Gynecology	Gynecologic Oncology	2006-00960	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00416726	OTHER		RR MEDICARE
2	Q0059L	MEDICAID	SOUTH CAROLINA
3	212133	OTHER		MEDCOST
4	2062363	MEDICARE PIN	NORTH CAROLINA
5	3810002778	MEDICAID	WEST VIRGINIA
6	806776	OTHER		PARTNERS
7	140AP	OTHER		BCBS
8	7391773	OTHER		AETNA
9	5905804	MEDICAID	NORTH CAROLINA
10	10186579	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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