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MR. DAVID JOSEPH PETKUS PA-C
NPI 1740878669
Physician Assistant in State College, PA

Active since January 06, 2021
1526 MARTIN ST, STATE COLLEGE, PA 16803(814) 237-0001 Get Directions Write a Review

NPPES record last updated: January 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Joseph Petkus Pa-c NPPES

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

MR. DAVID JOSEPH PETKUS PA-C (NPI 1740878669) is an individual physician assistant in State College, Pennsylvania, licensed in Pennsylvania (MA062264) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1740878669
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID JOSEPH PETKUSCredential: PA-C
Location Address1526 MARTIN STState College, PA 16803-3058
Mailing Address411 Park LnState College, PA 16803-1439 · (517) 270-0951
Phone(814) 237-0001
Sole ProprietorNo
Enumeration DateJanuary 6, 2021
NPPES CertifiedJanuary 6, 2021
✔ NPI 1740878669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA062264
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1526 MARTIN ST, State College, PA 16803
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Other Providers at the Same Location NPPES 7

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

DANIELLE F TRIMARCO LCSW
Social Worker (Clinical)
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 237-0001
DR. MICHELLE NICOLE STALTER SHIPPERT DO
Family Medicine
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 237-0001
KAITLYN BERNHARD
Podiatrist (Foot & Ankle Surgery)
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 996-4134
OASIS LIFECARE LLC
Psychiatry & Neurology (Psychiatry)
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 237-0001
JOHN MANSFIELD CORNEAL III DC
Chiropractor
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 237-5559
DR. ANDREW STEVEN BERNHARD DPM
Podiatrist (Foot & Ankle Surgery)
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 996-3134
TUSSEY MOUNTAIN FOOT & ANKLE SPECIALISTS, LLC
Podiatrist (Foot & Ankle Surgery)
1526 MARTIN ST
STATE COLLEGE, PA 16803
Centre County (814) 996-4134

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 David Petkus's NPI number?

The NPI number for David Petkus is 1740878669. It was assigned to this individual provider in the NPPES registry on January 6, 2021.

Where is David Petkus located?

David Petkus practices at 1526 Martin St, State College, PA 16803. The listed phone number is (814) 237-0001.

What is David Petkus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for David Petkus was last updated on January 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.