AMY VIOLA PETRIE PAC
NPI 1649386319
Physician Assistant - Medical in Niles, MI

NPI Status: Active since August 22, 2006

Contact Information

2002 S 11TH ST
NILES, MI
ZIP 49120
Phone: (269) 687-0200
Fax: (269) 684-0199

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  • Individual
  • Female
  • Physician Assistant
  • Medical

About AMY PETRIE

This page provides the complete NPI Profile along with additional information for Amy Petrie, a primary care provider established in Niles, Michigan with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1649386319 assigned on August 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 5601006305 (MI). The provider is registered as an individual and her NPI record was last updated 12 years ago.

NPI
1649386319
Provider Name
AMY VIOLA PETRIE PAC
Gender
Female
Entity Type
Individual
Location Address
2002 S 11TH ST NILES, MI 49120
Location Phone
(269) 687-0200
Location Fax
(269) 684-0199
Mailing Address
6416 DEANS HILL RD BERRIEN CENTER, MI 49102
Mailing Phone
(269) 471-7741
Mailing Fax
(269) 684-0199
Is Sole Proprietor?
No
Enumeration Date
08-22-2006
Last Update Date
03-14-2013
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A primary care provider (PCP) like Amy Petrie sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601006305
License State
MI

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)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

085002713 (IL)

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
1649386319MEDICAID (05)MI 
MI2051183MEDICARE PIN (08)MN 

Reviews for AMY VIOLA PETRIE PAC

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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.
1649386319
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689681232
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 6 + 8 + 1 + 2 + 3 + 2 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1649386319 is valid because the calculated check digit 9 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
1518022144SOUTHWESTERN MEDICAL CLINIC PC
Organization
Specialist2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1831383074 JORDAN M WAGNER PA
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1750543849DR. JONATHAN ROBIN STEEN D.O.
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1457567935 AILEEN JO VITANGCOL M.D.
Individual
Pediatrics2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1548588031LAKELAND MEDICAL PRACTICES
Organization
Clinic/Center (Rural Health)2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1386899292DR. SHANNON KEITH TWIDDY M.D.
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1275988867 JOAN MADSEN NP
Individual
Nurse Practitioner2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1083960652 LAUREN-SHYLENE LUNA TOSCANO NP
Individual
Nurse Practitioner2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1124394945 ELIZABETH ANN MCGLOTHLIN M.D.
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1134533565 JAMES E STRYCKER MD
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1114512233 SANDRA QUINTERO LLMSW
Individual
Social Worker2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1922621556 ANGELA COLEMAN NP
Individual
Nurse Practitioner2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1255367850DR. LOIS G LELLO MD
Individual
Pediatrics2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1265460489DR. CHRISTOPHER J HARVEY MD
Individual
Pediatrics2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1265478192DR. DANIEL M METZGER MD
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1326077744DR. LEANNE M MILLER MD
Individual
Pediatrics2002 S 11TH ST
NILES, MI 49120
(269) 684-0200
1457389264DR. DANIEL R JONES MD
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1518995828DR. BRAD S FERRARI MD
Individual
Family Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1538592753LAKELAND COMMUNITY HOSPITAL WATERVLIET
Organization
Clinic/Center (Rural Health)2002 S 11TH ST
NILES, MI 49120
(269) 687-0200
1699703058DR. RICHARD L BARDIN MD
Individual
Internal Medicine2002 S 11TH ST
NILES, MI 49120
(269) 687-0200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649386319, enumerated in the NPI registry as an "individual" on August 22, 2006

The provider is located at 2002 S 11th St Niles, Mi 49120 and the phone number is (269) 687-0200

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

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 August 22, 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].
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.