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

William Kimball Petitt, PA-C

Individual provider Surgical Physician Assistant · NPI 1669463055

William Kimball Petitt, PA-C is a Physician Assistant in Englewood, Colorado. Graduated from University of Florida College of Medicine in 1998, 28 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
28
Trained at
University of Florida College of Medicine
Licensed in
CO
In the registry since
2005
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

799 E Hampden Ave Ste 400
Englewood, CO 80113-2766
Phone: (303) 789-2663
Fax: (303) 788-4871
Show map & directions

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

Additional practice locations (1)

  • 9949 S Oswego St Ste 300, Parker, CO 80134-3888 — (303) 925-4750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1599 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0001599 (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0001599 (CO)

Record details

NPI number1669463055
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 3, 2005
Last updated in NPPESJanuary 9, 2024
Certification dateJanuary 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Graduated 1998 (28 years in practice)
Group practice Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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