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Dr. Jonathan Matthew Pettegrew

Sports Medicine Orthopaedic Surgeon

609 E Orangeburg Ave Suite 201
Modesto , California 95350-5512

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Dr. Jonathan Matthew Pettegrew

Sports Medicine Orthopaedic Surgeon

609 E Orangeburg Ave Suite 201
Modesto , California 95350-5512

(209) 572-4528

Write a Review Save Call

Dr. Jonathan Matthew Pettegrew

Sports Medicine Orthopaedic Surgeon

609 E Orangeburg Ave Suite 201
Modesto , California 95350-5512

(209) 572-4528 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Sports Medicine Orthopaedic Surgeon

Languages spoken

  • English

Location

609 E Orangeburg Ave Suite 201 Modesto , California 95350-5512

First Address

  • Dr. Jonathan Matthew Pettegrew
  • 609 E Orangeburg Ave Suite 201
  • Modesto, CA
  • Zip : 95350-5512
  • Fax : (209) 572-4528
  • Phone : (209) 572-3224

Second Address

  • Dr. Jonathan Matthew Pettegrew
  • 609 E Orangeburg Ave Suite 201
  • Modesto, CA
  • Zip : 95350-5512
  • Fax : (209) 572-4528
  • Phone : (209) 572-3224

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FAQs


Where did Dr. Jonathan Matthew Pettegrew attend graduate school?

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Where did Dr. Jonathan Matthew Pettegrew do his residency?

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Where did Dr. Jonathan Matthew Pettegrew do his fellowship?

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Is Dr. Jonathan Matthew Pettegrew board certified?

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What type of doctor is Dr. Jonathan Matthew Pettegrew

Sports Medicine Orthopaedic Surgeon

In what state does Dr. Jonathan Matthew Pettegrew practice in?

California

Where is Dr. Jonathan Matthew Pettegrew ’s practice located?

609 E Orangeburg Ave Suite 201 , Modesto, California, 95350-5512

What is Dr. Jonathan Matthew Pettegrew ’s gender?

Male

Is Dr. Jonathan Matthew Pettegrew a sole practitioner?

No

Is Dr. Jonathan Matthew Pettegrew accepting new patients?

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What languages does Dr. Jonathan Matthew Pettegrew speak?

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Does Dr. Jonathan Matthew Pettegrew accept insurance?

Yes, Dr. Jonathan Matthew Pettegrew accepts insurance

Does Dr. Jonathan Matthew Pettegrew offers telemedicine?

Dr. Jonathan Matthew Pettegrew has not indicated if he offers telemedicine

What is Dr. Jonathan Matthew Pettegrew ’s professional license number?

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What is Dr. Jonathan Matthew Pettegrew ’s NPI number?

1053552745

Does Dr. Jonathan Matthew Pettegrew have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207XX0005X Sports Medicine Orthopaedic Surgeon 20A13395 CA

National Provider Identifier

NPI 1053552745
Provider Name Dr. Jonathan Matthew Pettegrew
First Address Modesto, CA 95350-5512
Second Address Modesto, CA 95350-5512
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/03/2009
Last Update Date 23/06/2014

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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