Active NPI 1518193184 Individual Practitioner Male Practitioner

Dr. Ethan Pettit , DO

Pediatrics • Vernal, UT

Professional Overview & Biography Verified Profile Summary

Dr. Ethan Pettit, DO is a registered healthcare professional specializing in Pediatrics in Vernal, UT. Practice services are available at 175 N 100 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

175 N 100 W
Ste 106

Vernal, UT 840782049

Telephone 4357899060

Fax 4357813048

Associated Practice Facility / Clinic

🏢 Richards General Surgery Pc Facility NPI 1164530903

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Vernal, UT

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Vernal, UT (688 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

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IA R-8712

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Daniel Kwak , MD

Pediatrics

NPI 1023185444

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active February 06, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 06, 2014

Registered at 175 N 100 W, STE 106, VERNAL, UT 840782049 (Tel: 4357899060)

📍

Updated Business Mailing Address February 06, 2014

Registered at 175 N 100 W, STE 106, VERNAL, UT 840782049 (Tel: 4357899060)

👤

Provider Name / Credentials Updated February 06, 2014

Recorded as ETHAN PETTIT, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2014

Pediatrics (License #R-8712 in IA)

🟢

Initial NPI Registration & Enumeration June 09, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Ethan Pettit. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518193184

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 09, 2009

Last Update: February 06, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

175 N 100 W, Ste 106

Vernal, UT 840782049

Phone: 4357899060

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.