Grant Petty
Medical Specialty
Professional ID
- NPI: 1154438315
- PECOS ID: 9335145408
- Enrollment ID: I20070516000088
- Credential(MD, DO, DPM): MD
- Medical School: University Of Louisville School Of Medicine
- Medical School Graduation Year: 2001
Hospital Service
- Hospital CCN1: 510007
- Business Name (LBN)1: St Marys Medical Center
- Hospital CCN2: 510055
- Business Name (LBN)2: Cabell Huntington Hospital Inc
- Hospital CCN3: 510048
- Business Name (LBN)3: Logan Regional Medical Center
- Hospital CCN4: 180128
- Business Name (LBN)4: Three Rivers Medical Center
- Hospital CCN5: 180005
- Business Name (LBN)5: Highlands Regional Medical Center
Medical Practices
- Organization Name: Radiology Inc
- Group Practice ID assigned by PECOS: 2365340429
- Number of Group Practice member: 31
Location
- Address1: 20 Hospital Dr
- Address2:
- City: Logan
- State: West Virginia
- Zip Code: 25601
- Phone Number: (301)831-1200
Location
- Address1: 2483 Hwy 644
- Address2:
- City: Louisa
- State: Kentucky
- Zip Code: 41230
- Phone Number: (606)638-1507
Location
Location
- Address1: 5000 Ky Route 321
- Address2:
- City: Prestonsburg
- State: Kentucky
- Zip Code: 41653
- Phone Number: (606)886-7581
Location
- Address1: 5221 Us Route 60 E
- Address2:
- City: Huntington
- State: West Virginia
- Zip Code: 25705
- Phone Number: (304)522-1550
Location
Medical Practices
- Organization Name: Premier Imaging And Intervention, Pllc
- Group Practice ID assigned by PECOS: 4587562335
- Number of Group Practice member: 22
Location
- Address1: 400 Court St
- Address2: Suite 303
- City: Charleston
- State: West Virginia
- Zip Code: 25301
- Phone Number: (304)550-7745
Location
- Address1: 701 Madison Ave
- Address2:
- City: Madison
- State: West Virginia
- Zip Code: 25130
- Phone Number: (304)369-1230
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):