Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wendell E Petty, MD

Individual provider Allergy & Immunology Physician · NPI 1457312308

Dr. Wendell E Petty, MD is an Allergy/Immunology in Idaho Falls, Idaho. Qualified in 1972, 54 years ago. Practices with Idaho Allergy and Asthma Clinic PA, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho.

Years since qualifying
54
Licensed in
ID
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3422 S 15th E
Idaho Falls, ID 83404-8262
Phone: (208) 529-9292
Fax: (208) 525-6013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X · Licence MD-2580 (ID)

Record details

NPI number1457312308
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 30, 2006
Last updated in NPPESJune 21, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Group practice Idaho Allergy And Asthma Clinic Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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