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Active NPI 1407979313 Individual Practitioner Male Practitioner

Dr. Mark Edgar Pettay , DC

Chiropractor • Groveport, OH

Professional Overview & Biography Verified Profile Summary

Dr. Mark Pettay, DC is a registered healthcare professional specializing in Chiropractor in Groveport, OH. Practice services are available at 495 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

495 Main St
Suite D

Groveport, OH 431251184

Telephone 6148367227
Fax 6148363038
Associated Practice Facility / Clinic
🏢 Dr. Richard N. Mccarty, Inc. Facility NPI 1396922514

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Groveport, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Groveport, OH (2830 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

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License OH 1755

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Tax Id
311462245 (OH)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 495 MAIN ST, SUITE D, GROVEPORT, OH 431251184 (Tel: 6148367227)

📍
Updated Business Mailing Address July 08, 2007

Registered at 495 MAIN ST, SUITE D, GROVEPORT, OH 431251184 (Tel: 6148367227)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK PETTAY, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #1755 in OH)

🟢
Initial NPI Registration & Enumeration April 06, 2007

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: 1407979313
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 06, 2007
Last Update: July 08, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

495 Main St, Suite D

Groveport, OH 431251184

Phone: 6148367227

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.