JOHN D PETTINGER M.D.
NPI 1497785463
Emergency Medicine in Kenosha, WI

NPI Status: Active since July 04, 2006

Contact Information

10400 75TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 948-7385

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  • Individual
  • Male
  • Emergency Medicine

About JOHN PETTINGER

This page provides the complete NPI Profile along with additional information for John Pettinger, a provider established in Kenosha, Wisconsin with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1497785463 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number 40867 (WI). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI
1497785463
Provider Name
JOHN D PETTINGER M.D.
Gender
Male
Entity Type
Individual
Location Address
10400 75TH ST KENOSHA, WI 53142
Location Phone
(262) 948-7385
Mailing Address
10400 75TH ST KENOSHA, WI 53142
Mailing Phone
(262) 948-7385
Is Sole Proprietor?
No
Enumeration Date
07-04-2006
Last Update Date
12-11-2014
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
40867
License State
WI
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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
G86471MEDICARE UPIN (02) 

Reviews for JOHN D PETTINGER M.D.

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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.
1497785463
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2418714810412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 8 + 7 + 1 + 4 + 8 + 1 + 0 + 4 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1497785463 is valid because the calculated check digit 3 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
1477546737MEA-AEA KENOSHA SC
Organization
Emergency Medicine10400 75TH ST
KENOSHA, WI 53142
(262) 948-5640
1073595971 QUENTIN R KASUBOSKI NP
Individual
Nurse Practitioner10400 75TH ST AURORA MEDICAL CENTER
KENOSHA, WI 53142
(262) 697-7000
1790769800 EDWARD SHACKLEFORD DO
Individual
Emergency Medicine10400 75TH ST AURORA MEDICAL CENTER
KENOSHA, WI 53142
(262) 697-7000
1881678993 MARC CRESCENZO MD
Individual
Emergency Medicine10400 75TH ST AURORA MEDICAL CENTER
KENOSHA, WI 53142
(262) 697-7000
1225015704 THERESE MARIE WHITT MD
Individual
Emergency Medicine10400 75TH ST AURORA MEDICAL CENTER
KENOSHA, WI 53142
(262) 697-7000
1033170568MRS. SUSAN H. PERGANDE WHNP
Individual
Nurse Practitioner (Women's Health)10400 75TH ST
KENOSHA, WI 53142
(262) 948-6714
1952310625MS. KATHY L BANDSTRA LCSW
Individual
Social Worker (Clinical)10400 75TH ST #307
KENOSHA, WI 53142
(262) 948-6770
1720195639MS. ANITA L STELIGA APNP
Individual
Nurse Practitioner10400 75TH ST
KENOSHA, WI 53142
(262) 948-5600
1346441524 OTTIE BRUNO PT
Individual
Physical Therapist10400 75TH ST
KENOSHA, WI 53142
(262) 942-5600
1952562761 ANDREA J BRACKMAN P.A.
Individual
Physician Assistant10400 75TH ST
KENOSHA, WI 53142
(262) 697-7000
1699917880 KAREN MARIE FENSKE NNP, APNP
Individual
Nurse Practitioner (Neonatal)10400 75TH ST
KENOSHA, WI 53142
(262) 948-5200
1669776282DR. MATTHEW A NUCIFORO PT, DPT, OCS
Individual
Physical Therapist10400 75TH ST
KENOSHA, WI 53142
(262) 948-7045
1851695290 EDDIE DRAGOVOJA PTA
Individual
Physical Therapy Assistant10400 75TH ST
KENOSHA, WI 53142
(262) 948-7045
1992009393MS. KIMBERLY JOANN WHALEN DPT
Individual
Physical Therapist10400 75TH ST
KENOSHA, WI 53142
(262) 948-7045
1194004325MS. PATRICIA A. EDER SA-C
Individual
Specialist/Technologist, Other (Surgical Assistant)10400 75TH ST
KENOSHA, WI 53142
(262) 948-6866
1932310661 ELENA KORNIYCHUK M.D.
Individual
Psychiatry & Neurology (Neurology)10400 75TH ST SUITE 315
KENOSHA, WI 53142
(262) 948-7815
1184978694 NISHA K VERMANI NP
Individual
Nurse Practitioner10400 75TH ST
KENOSHA, WI 53142
(262) 948-7000
1174869804MR. ANGELO JONES PHARMD
Individual
Pharmacist10400 75TH ST
KENOSHA, WI 53142
(262) 948-5680
1578743019GREAT LAKES NEUROSURGICAL ASSOCIATES LLC
Organization
Neurological Surgery10400 75TH ST
KENOSHA, WI 53142
(262) 948-7000
1760623110DR. AMY WOIKE D.O.
Individual
Family Medicine10400 75TH ST
KENOSHA, WI 53142
(262) 948-7370

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497785463, enumerated in the NPI registry as an "individual" on July 04, 2006

The provider is located at 10400 75th St Kenosha, Wi 53142 and the phone number is (262) 948-7385

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

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 July 04, 2006. 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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