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John K Petty, MD
Pediatric Surgery Physician in Winston Salem, North Carolina
NPI 1497731095

John K Petty is a Pediatric Surgery Physician based in Winston Salem, NC and is specialized in Pediatric Surgery. John K Petty practices in Winston Salem, NC and has the professional credentials of MD. The NPI Number for John K Petty is 1497731095 and holds a License No. 200501628 (North Carolina).

The current practice location address for John K Petty is Medical Center Blvd, Winston Salem, NC and can be reached out via phone at 336-716-2255 and via fax at 336-716-6637.

Location: Medical Center Blvd, Winston Salem, NC, 27102-0344
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497731095
Provider Name
John K Petty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Medical Center Blvd, Winston Salem, NC, 27102-0344
Phone Number
336-716-2255
Fax Number
336-716-6637
Provider Enumeration Date
12/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806729 01 PARTNERS
Q01623 05 SC
14042 01 BCBS
10211484 05 VA
7290767 01 AETNA
184276 01 MEDCOST
3810003638 05 WV
5902325 05 NC
institution
Provider Business Practice Location Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-6637
person
Provider Business Mailing Address Details
Address
Medical Center Blvd
City
Winston Salem
State
North Carolina
Zip
27157-0001
Phone Number
336-716-2255
Fax Number
336-716-6637
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
200501628 (North Carolina)
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Critical Care
Taxonomy
2086S0102X
License No.
200501628 (North Carolina)
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
2086S0120X
License No.
200501628 (North Carolina)
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
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