RUSSELL PETTY MD
NPI 1043245277
Family Medicine in Cando, ND

Active since July 12, 2006
HIGHWAY 281 NORTH, CANDO, ND 58324(701) 968-2541(701) 968-2574 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell Petty Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSELL PETTY MD (NPI 1043245277) is an individual family medicine provider in Cando, North Dakota, licensed in North Dakota (3895) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1043245277
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRUSSELL PETTYCredential: MD
Location AddressHIGHWAY 281 NORTHCando, ND 58324-0688
Mailing AddressPo Box 688Cando, ND 58324-0688 · (701) 968-2541 · Fax (701) 968-2574
Fax(701) 968-2574
Sole ProprietorNo
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1043245277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in ND · 3895
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
HIGHWAY 281 NORTH, Cando, ND 58324

Other Identifiers 5

Other21510ND · Bcbs Provider #
Medicare UPINE25348
Medicaid12622ND
Other24029ND · Bcbs Provider #
Medicare ID-Type Unspecified21510ND · Part B Provider #

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
HIGHWAY 281 NORTH, TOWNER COUNTY MEDICAL CENTER
CANDO, ND 58324

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Russell Petty's NPI number?

The NPI number for Russell Petty is 1043245277. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Russell Petty located?

Russell Petty practices at Highway 281 North, Cando, ND 58324. The listed phone number is (701) 968-2541.

What is Russell Petty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Russell Petty accept?

Health plans from Medica list Russell Petty as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Russell Petty was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.