Jaron Lee Pettis
Jaron Lee Pettis is a General Surgery in LA Porte, Indiana. Graduated from University of South Carolina School of Medicine in 2019, 7 years ago. Practices with La Porte Clinic Company LLC, a 66-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 7
- Trained at
- University of South Carolina School of Medicine
- Licensed in
- IN
- In the registry since
- 2019
Practice location Address checks out
1331 State St Ste 340LA Porte, IN 46350-3112
Phone: (219) 379-3166
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgery Physician (primary) | Taxonomy 208600000X · Licence 01094579A (IN) |
|---|
Record details
| NPI number | 1366903015 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | March 26, 2019 |
| Last updated in NPPES | August 26, 2024 |
| Certification date | August 26, 2024 |
| Mailing address | 1331 State St Ste 340, La Porte, IN 46350-3112 |
Medicare enrollment
| Medicare specialty | GENERAL SURGERY |
|---|---|
| Medical school | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduated | 2019 (7 years in practice) |
| Group practice | La Porte Clinic Company Llc — 66 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 8 on file with Medicare |
Other providers in LA Porte
-
Jeremy R. Luedtke, MD
400 Legacy Plz W, LA Porte, IN 46350-5296 · (219) 379-3166
-
Dr. David Samuel Mendelowitz, MD
1300 State St Ste 2C, LA Porte, IN 46350-3134 · (219) 325-0152
-
Brian G Moore, MD
900 I St Fl 2, LA Porte, IN 46350-5533 · (219) 575-6060
-
Moore Surgical Associates, PC
901 Lincolnway Ste 304, LA Porte, IN 46350-3430 · (219) 362-8523