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

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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