Individual provider · Type 1 NPI

Irina Sergeevna Petty, PA

Physician Assistant · Newark, OH

NPI number 1619211463 Active

Practice location

2000 Tamarack Rd
Newark, OH 43055

Call (220) 564-4650 Map

Fax (220) 564-4238

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X003613 (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619211463

Irina Sergeevna Petty, PA's National Provider Identifier is 1619211463, issued on Nov 17, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Newark, OH. The record was last updated on Apr 2, 2021.