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

Theodore M Petkov, MD

Individual provider Emergency Medicine Physician · NPI 1184616575

Theodore M Petkov, MD is an Emergency Medicine Physician in Johnson City, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005
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

33-57 Harrison St
Johnson City, NY 13790-2143
Phone: (607) 763-6412
Fax: (607) 763-5854
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 165516 (NY)

Record details

NPI number1184616575
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 22, 2005
Last updated in NPPESNovember 19, 2011
Mailing address346 Grand Ave, Johnson City, NY 13790-2558

Other providers in Johnson City