NPI age
20 years
Enumerated 2006-03-30
● Active
Type 1 · Individual
DR. Wendell E Petty, M.D.
Petty is 1 of 2 allergy & immunology providers in Idaho Falls and 1 of 10 in Idaho.
Primary specialty
Allergy & Immunology
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2019-06-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 10 active allergy & immunology providers in Idaho.
NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
30% of peers hold multiple states
Subspecialties
0
30% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-03Enumerated in NPPES
2006
2026
Where they practice
Practice location
3422 S 15th E
Idaho Falls, ID 834048262
Mailing address
3422 S 15th E
Idaho Falls, ID 834048262
Specialties
-
Allergy & Immunology PrimaryAn allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 76891 | BLUE CROSS |
| 01 (ID) | 000010004631 | BLUE SHIELD |
| 05 (ID) | 002516900 | |
| 01 (ID) | 030000684 | RAILROAD MEDICARE |
Practice context
Part of a multi-provider practice. 13 other active providers share this practice address in NPPES.
Provyx · Custom healthcare lists
Need all 10 Allergy & Immunology providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.