Timothy William Pettitt
Pediatric Surgery
200 Henry Clay Ave
New Orleans
, Louisiana 70118
Timothy William Pettitt
Pediatric Surgery
200 Henry Clay Ave
New Orleans
, Louisiana 70118
(504) 896-9410
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Timothy William Pettitt
- 200 Henry Clay Ave
- New Orleans, LA
- Zip : 70118
- Fax : (504) 896-9410
- Phone : (504) 896-9868
Second Address
- Timothy William Pettitt
- 200 Henry Clay Ave
- New Orleans, LA
- Zip : 70118
- Fax : (504) 896-9410
- Phone : (504) 896-9868
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | 13143R | LA |
National Provider Identifier
| NPI | 1144322421 |
|---|---|
| Provider Name | Timothy William Pettitt |
| First Address | New Orleans, LA 70118 |
| Second Address | New Orleans, LA 70118 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1558010 | (05) | LA |
| H02820 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.