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Deactivated NPI 1396823829 Deactivated / Inactive NPI Male Practitioner

Dr. John Pettit , MD

Surgery • Nogales, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. John Pettit has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 01, 2006
NPI Deactivation Date November 22, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. John Pettit, MD was a registered Surgery practicing in Nogales, AZ. Throughout an active medical career spanning 16 years, Dr. Pettit provided care at the practice location at 1209 W TARGET RANGE RD until profile deactivation on 2022-11-22.

Practice Location & Contact Primary Location

Practice Address

1209 W Target Range Rd
Suite 4

Nogales, AZ 856212465

Telephone 5202853000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Nogales, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 23.6 Yrs
Regional Practice Density
2 Specialists

Practicing in Nogales, AZ (801 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 20942

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Patrick Mullett , MD

Emergency Medicine

NPI 1013537216

Doctor of Medicine (M.D.)

Amos Wilkinson , CRNA

Nurse Anesthetist, Certified Registered

NPI 1255375747

Certified Registered Nurse Anesthetist

NPI 1285626754

Doctor of Medicine (M.D.)

Kerry Smith , CRNA

Nurse Anesthetist, Certified Registered

NPI 1285723700

Certified Registered Nurse Anesthetist

Dr. Landon Pratt , MD

Emergency Medicine

NPI 1568826923

Doctor of Medicine (M.D.)

Carolyn Kenngott , CRNA

Nurse Anesthetist, Certified Registered

NPI 1659333078

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 22, 2022

Record deactivated on November 22, 2022

NPI Profile Active April 10, 2013

NPI status registered as active in NPPES database

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Updated Practice Location April 10, 2013

Registered at 1209 W TARGET RANGE RD, SUITE 4, NOGALES, AZ 856212465 (Tel: 5202853000)

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Updated Business Mailing Address April 10, 2013

Registered at 2202 N FORBES BLVD, TUCSON, AZ 857451412 (Tel: 5208727700)

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Provider Name / Credentials Updated April 10, 2013

Recorded as JOHN PETTIT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2013

Surgery (License #20942 in AZ)

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Initial NPI Registration & Enumeration November 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396823829
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2006
Last Update: April 10, 2013
Deactivation Date: November 22, 2022

Mailing Address

2202 N Forbes Blvd

Tucson, AZ 857451412

Phone: 5208727700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.