Corwin D. Petty, MD, PA
NPI 1881859593ActiveOrganization· Family Medicine· Rogers, AR
Family Medicine in Rogers, Arkansas, registered in NPPES in July 2008, part of Petty Medical Clinic. The authorized official on file is Corwin D. Petty, MD, Owner / Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1881859593 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Petty Medical Clinic |
| NPI issued | Jul 22, 2008 |
| Last updated in NPPES | Apr 4, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AR) |
|---|
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