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DR. WAYMOND JAY PETTIT M.D.
NPI 1679720726
Otolaryngology in Decatur, IL

Active since August 20, 2008
3620 S TAYLOR RD, DECATUR, IL 62521(217) 454-0022 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Waymond Jay Pettit M.d. NPPES

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

DR. WAYMOND JAY PETTIT M.D. (NPI 1679720726) is an individual otolaryngology provider in Decatur, Illinois, licensed in Illinois (036051290) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1679720726
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WAYMOND JAY PETTITCredential: M.D.
Location Address3620 S TAYLOR RDDecatur, IL 62521-9015
Mailing Address451 E 1000 NLa Porte, IN 46350-8638 · (219) 778-8524 · Fax (219) 778-8534
Phone(217) 454-0022
Sole ProprietorYes
Enumeration DateAugust 20, 2008
✔ NPI 1679720726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in IL · 036051290
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
3620 S TAYLOR RD, Decatur, IL 62521
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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 Waymond Pettit's NPI number?

The NPI number for Waymond Pettit is 1679720726. It was assigned to this individual provider in the NPPES registry on August 20, 2008.

Where is Waymond Pettit located?

Waymond Pettit practices at 3620 S Taylor Rd, Decatur, IL 62521. The listed phone number is (217) 454-0022.

What is Waymond Pettit's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Waymond Pettit was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.