Individual provider · Type 1 NPI

Jaron Lee Pettis

Surgery Physician · La Porte, IN

NPI number 1366903015 Active

Practice location

1331 State St Ste 340
La Porte, IN 46350-3112

Call (219) 379-3166 Map

Other practice locations

  • 2006 S Main St Ste A, Goshen, IN 46526-5232 · (574) 535-9100

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X01094579A (IN)

Surgery Physician: 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 increasin…

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About NPI 1366903015

Jaron Lee Pettis's National Provider Identifier is 1366903015, issued on Mar 26, 2019. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in La Porte, IN. The record was last updated on Sep 17, 2026.