Caitlen Petschke, PA-C

Individual Active
NPI 1558669986
Medical Physician Assistant Johnson City, TN

NPI 1558669986 belongs to Caitlen Petschke, PA-C, a medical physician assistant with a practice location in Johnson City, TN. The NPI was issued on March 9, 2011, and the record was last updated in NPPES on August 15, 2013. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2013. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X 2275 (TN)
Medical Physician Assistant 363AM0700X PA200351 (LA)

Practice location

101 Med Tech Pkwy
Ste. 405
Johnson City, TN 37604-4007
Phone: (423) 929-2452

Local context

Active NPPES records list 53 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 35 of them within 10 miles.

The same primary taxonomy is listed by 638 in Tennessee and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Caitlen M Petschke
Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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