NPIMap

Individual provider Active NPI

Catherine Michael Patrick, DO

  • Family Medicine Physician
  • Dunmore, PA
National Provider Identifier
1003278565
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS020006 Issued in PA
Practice address
1140 Quincy Ave
Dunmore, PA 18510-1150
Phone
(570) 983-0360
NPI assigned
Mar 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS020006 PA Primary

Addresses

Primary practice location

1140 Quincy Ave
Dunmore, PA 18510-1150

Mailing address

1140 Quincy Ave
Dunmore, PA 18510-1150
Phone (570) 983-0360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190916001338 PA Practitioner - Family Practice 7214223726 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Memorial Community Health CentersGroup PAC ID 3072598937, 47 clinicians

Practice addresses (Care Compare)

1839 Fair Ave
Honesdale, PA 18431-2121
Phone (570) 251-6641

Hospital & facility affiliations

  • Personal Home Healthcare and Hospice Home health agency, Blakely, PA, CCN 398192
  • Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS020006PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2019 Accepting new patients
Wayne Memorial Community Health Centers Family Medicine CurrentSince Aug 13, 2025 Accepting new patients
Geisinger Clinic Family Medicine Current Accepting new patients
Wayne Memorial Community Health Centers CurrentSince Aug 13, 2025 Accepting new patients
Wayne Memorial Community Health Centers Family Medicine Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

1839 Fair Ave
Honesdale, PA 18431
Phone (570) 251-6500

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

412 Como Rd
Lake Como, PA 18437
Phone (570) 775-7100

1140 Quincy Ave
Scranton, PA 18510
Phone (570) 347-4420

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DDBFDD/Endpoint/DDBFDD

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577404800000",
    "number": "1003278565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101150",
            "telephone_number": "570-983-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 QUINCY AVE",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185101150",
            "telephone_number": "570-983-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "CATHERINE",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-24",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS020006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunmore, PA

Sources for this page

Verify at the official NPI Registry.