JAMES A. PETTERCHAK MD – NPI #1598832032
Pathology

A forensic pathologist is expert in investigating and evaluating cases of sudden, unexpected, suspicious and violent death as well as other specific classes of death defined by law. The forensic pathologist serves the public as coroner or medical examiner, or by performing medicolegal autopsies for such officials.

JAMES PETTERCHAK is a pathologist located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1598832032 to JAMES PETTERCHAK on November 29, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207ZF0201X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Forensic Pathology

The NPI profile was previously updated about 18 years ago on Oct 01, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAMES PETTERCHAK below.

NPI Profile for
JAMES A. PETTERCHAK

NPI Number
1598832032
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAMES A. PETTERCHAK
Credentials
MD
Primary location
3015 N. BALLAS
DEPT OF PATHOLOGY
SAINT LOUIS, MO 63131
Phone: (314) 996-5551 Fax: (314) 996-5551
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for JAMES PETTERCHAK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMO1598832032
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZF0201X
- Pathology / Forensic Pathology (Primary)
IL 036-101883
207ZP0105X
- Pathology / Clinical Pathology/Laboratory Medicine
IL 036-101883
207ZP0101X
- Pathology / Anatomic Pathology
IL 036-101883

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE - Graduated 1993
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JAMES PETTERCHAK is affiliated with the following medical group(s):
  • HOSPITAL
    • BARNES-JEWISH ST PETERS HOSPITAL
      10 HOSPITAL DR
      SAINT PETERS, MO 63376
    • MISSOURI BAPTIST MEDICAL CENTER
      3015 N BALLAS RD
      TOWN AND COUNTRY, MO 63131
    • MISSOURI BAPTIST SULLIVAN HOSPITAL
      751 SAPPINGTON BRIDGE RD
      SULLIVAN, MO 63080
    • PROGRESS WEST HOSPITAL
      2 PROGRESS POINT PKWY
      O FALLON, MO 63368

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