DAVIDSON M PETTIT AA
NPI 1174808844
Anesthesiologist Assistant in Aurora, CO

NPI Status: Active since October 13, 2011

Contact Information

13123 E 16TH AVE
AURORA, CO
ZIP 80045
Phone: (720) 777-1234

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  • Individual
  • Male
  • Years of Experience 15
  • Anesthesiologist Assistant
  • Accepts Medicare Approved Payment

About DAVIDSON PETTIT

This page provides the complete NPI Profile along with additional information for Davidson Pettit, a provider established in Aurora, Colorado with a medical specialization in Anesthesiologist Assistant and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1174808844 assigned on October 2011. The practitioner's primary taxonomy code is 367H00000X with license number 103 (CO). The provider is registered as an individual and his NPI record was last updated 6 years ago.

NPI
1174808844
Provider Name
DAVIDSON M PETTIT AA
Gender
Male
Entity Type
Individual
Location Address
13123 E 16TH AVE AURORA, CO 80045
Location Phone
(720) 777-1234
Mailing Address
PO BOX 110429 AURORA, CO 80042
Mailing Phone
(303) 493-7000
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
No
Enumeration Date
10-13-2011
Last Update Date
05-23-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiologist Assistant

Taxonomy Code
367H00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
103
License State
CO
Taxonomy Description
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1367H00000XPhysician Assistants & Advanced Practice Nursing Providers

Anesthesiologist Assistant

1280 (TX)

Medicare Participation & PECOS Enrollment Status

Davidson Pettit is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 6103087309

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20190612001211

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174808844
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211441601688
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 0 + 1 + 6 + 8 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1174808844 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1841288065 LISA WANGER PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1972586436 JOYCE MARIE GIBBONS PA C
Individual
Physician Assistant13123 E 16TH AVE B145
AURORA, CO 80045
(720) 777-6652
1316921398 DAVID ECKHARDT PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1699753376 RAJEEV VIBHAKAR MD
Individual
Pediatrics (Pediatric Hematology-Oncology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1992771091 STANLEY LOFTNESS MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1134196538 SEAN O'LEARY MD
Individual
Pediatrics (Pediatric Infectious Diseases)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1073582706 FREDERICK SUCHY M.D.
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE THE CHILDRENS HOSPITAL
AURORA, CO 80045
(720) 777-1234
1154385987 ROBIN SAWARYNSKI PA
Individual
Physician Assistant13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1649238593 DUNCAN WILCOX MD
Individual
Urology (Pediatric Urology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1902856511DR. KRISTA A YORK MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1225074594 KENDRA BJORAKER PHD
Individual
Clinical Neuropsychologist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1003844143 ROBERT KRAMER MD
Individual
Pediatrics (Pediatric Gastroenterology)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1356379952 TRISTA BOWYER MD
Individual
Pediatrics13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1104854645 RICHARD HENDERSHOT MD
Individual
Anesthesiology13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1679504039 TRAVIS HEARE MD
Individual
Orthopaedic Surgery13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1427089440 BETSEY H BUCCA LCSW
Individual
Social Worker (Clinical)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1932
1376561183 PATRICIA LAVESSER OTR
Individual
Occupational Therapist13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234
1184645806DR. DESMOND K RUNYAN MD
Individual
Pediatrics13123 E 16TH AVE B390
AURORA, CO 80045
(303) 864-5364
1659395127MS. MELANIE SABERIAN PNP
Individual
Nurse Practitioner (Pediatrics)13123 E 16TH AVE THE CHILDREN'S HOSPITAL
AURORA, CO 80045
(720) 777-1234
1770592073 REGINA REYNOLDS MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)13123 E 16TH AVE
AURORA, CO 80045
(720) 777-1234

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174808844, enumerated in the NPI registry as an "individual" on October 13, 2011

The provider is located at 13123 E 16th Ave Aurora, Co 80045 and the phone number is (720) 777-1234

The provider's speciality is Anesthesiologist Assistant with taxonomy code 367H00000X

The provider has more than 15 years of experience.

This NPI record was last updated on October 13, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.