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

Ryan Pettit, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1487092292

Ryan Pettit, DO is an Obstetrics/Gynecology in Nampa, Idaho. Qualified in 2013, 13 years ago. Practices with Lifestages Ob-Gyn PLLC, a 4-clinician group and accepts Medicare assignment. Licensed in Idaho and Missouri.

Years since qualifying
13
Licensed in
ID, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4424 E Flamingo Ste 200
Nampa, ID 83687
Phone: (208) 302-1400
Fax: (208) 302-1455
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence O-1017 (ID)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 2013017878 (MO)

Record details

NPI number1487092292
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 13, 2013
Last updated in NPPESJuly 21, 2022
Mailing address3340 E Goldstone Way, Meridian, ID 83642-1026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Lifestages Ob-Gyn Pllc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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