Dr. Martin Michael Petith , MD
Specialist • Marion, IL
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. Martin Petith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Martin Petith, MD was a registered Specialist practicing in Marion, IL. Throughout an active medical career spanning 12 years, Dr. Petith provided care at the practice location at 2401 W MAIN ST until profile deactivation on 2018-06-18.
Practice Location & Contact Primary Location
2401 W Main St
Va Medical Center
Marion, IL 629591188
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Marion, IL
Practicing in Marion, IL (1322 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Technician - Attendant Care Provider
Registered Nurse
REGISTEREDNURSE
Registered Nurse
Registered Nurse - Ambulatory Care
Registered Nurse
Registered Nurse - Oncology
Registered Nurse
Registered Nurse
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 18, 2018
NPI status registered as active in NPPES database
Registered at 2401 W MAIN ST, VA MEDICAL CENTER, MARION, IL 629591188 (Tel: 6189975311)
Registered at 902 S JOHNSON AVE, CARBONDALE, IL 629012468 (Tel: 6185499266)
Recorded as MARTIN PETITH, M.D.
Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
902 S Johnson Ave
Carbondale, IL 629012468
Phone: 6185499266
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