CHARLES ROBERT PETTIT MD A MEDICAL CORPORATION
NPI 1316268386
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Santa Rosa, CA
NPI Status: Active since June 14, 2010
Contact Information
175 CONCOURSE BLVD
SANTA ROSA, CA
ZIP 95403
Phone: (707) 284-9200
Fax: (707) 284-9204
- Organization
- Otolaryngology
- Otolaryngology/Facial Plastic Surgery
About CHARLES ROBERT PETTIT MD A MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Charles Robert Pettit Md A Medical Corporation, a provider established in Santa Rosa, California operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1316268386 assigned on June 2010. The practitioner's primary taxonomy code is 207YX0905X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Charles Robert Pettit M.d. (President)
- NPI
- 1316268386
- Provider Name
- CHARLES ROBERT PETTIT MD A MEDICAL CORPORATION
- Entity Type
- Organization
- Location Address
- 175 CONCOURSE BLVD SANTA ROSA, CA 95403
- Location Phone
- (707) 284-9200
- Location Fax
- (707) 284-9204
- Mailing Address
- 3906 HEATHFIELD PL SANTA ROSA, CA 95404
- Mailing Phone
- (707) 843-3999
- Mailing Fax
- (707) 284-9204
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-14-2010
- Last Update Date
- 08-14-2015
- Code Navigator
Location Map
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
Otolaryngology Otolaryngology/Facial Plastic Surgery
- Taxonomy Code
- 207YX0905X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A235594 | MEDICARE UPIN (02) | CA |
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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. | |||||||||
| 1 | 3 | 1 | 6 | 2 | 6 | 8 | 3 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 4 | 6 | 16 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 4 + 6 + 1 + 6 + 3 + 1 + 6 + 24 = 64 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 64 = 6 | 6 | ||||||||
The NPI number 1316268386 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184778094 | ELLEN BARNETT M.D. Individual | General Practice | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9206 |
| 1619021433 | MOSES DAVID E GOLDBERG N.D Individual | Naturopath | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9213 |
| 1780738518 | BEVERLY VISTARA BENOIT MFT Individual | Marriage & Family Therapist | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9237 |
| 1932395563 | VICTORIA GEORGIA LANDES LCSW Individual | Social Worker (Clinical) | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9200 |
| 1073879292 | DR. DANA SHELLEY MICHAELS N.D. Individual | Naturopath | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9200 |
| 1912246760 | PAMELA SUSAN KOPPEL LCSW Individual | Social Worker (Clinical) | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9235 |
| 1922624113 | ANDREA MAZZOLA Individual | Naturopath | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9200 |
| 1578159869 | KANANI MEDICAL Organization | Clinic/Center | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 284-9200 |
| 1427489277 | DR. BARBARA BIRSINGER THD, MPH, RD, CEDRD Individual | Dietitian, Registered (Nutrition, Metabolic) | 175 CONCOURSE BLVD SANTA ROSA, CA 95403 (707) 799-2982 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316268386, enumerated in the NPI registry as an "organization" on June 14, 2010
The provider is located at 175 Concourse Blvd Santa Rosa, Ca 95403 and the phone number is (707) 284-9200
This medical organization specializes in Otolaryngology with taxonomy code 207YX0905X with a focus in Otolaryngology/Facial Plastic Surgery
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 14, 2010. 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].
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