JOHN D PETTINGER M.D.
NPI 1497785463
Emergency Medicine in Kenosha, WI

Active since July 04, 2006
10400 75TH ST, KENOSHA, WI 53142(262) 948-7385 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John D Pettinger M.d. NPPES

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

JOHN D PETTINGER M.D. (NPI 1497785463) is an individual emergency medicine provider in Kenosha, Wisconsin, licensed in Wisconsin (40867) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1497785463
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameJOHN D PETTINGERCredential: M.D.
Location Address10400 75TH STKenosha, WI 53142-7884
Mailing Address10400 75th StKenosha, WI 53142-7884 · (262) 948-7385
Sole ProprietorNo
Enumeration DateJuly 4, 2006
Last NPPES UpdateDecember 11, 2014
NPI 1497785463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 40867
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
10400 75TH ST, Kenosha, WI 53142

Other Identifiers 1

Medicare UPING86471

Other Providers at the Same Location NPPES 20

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

Anesthesiology
10400 75TH ST
KENOSHA, WI 53142
Physician Assistant
10400 75TH ST
KENOSHA, WI 53142
Nurse Practitioner (Women's Health)
10400 75TH ST
KENOSHA, WI 53142
Emergency Medicine
10400 75TH ST, AURORA MEDICAL CENTER
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Nurse Anesthetist, Certified Registered
10400 75TH ST
KENOSHA, WI 53142
Internal Medicine
10400 75TH ST
KENOSHA, WI 53142
Registered Nurse (Critical Care Medicine)
10400 75TH ST
KENOSHA, WI 53142

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 John Pettinger's NPI number?

The NPI number for John Pettinger is 1497785463. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is John Pettinger located?

John Pettinger practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-7385.

What is John Pettinger's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for John Pettinger was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.