Patrick W Bozarth

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

PATRICK W BOZARTH

Practice address

227 N 9TH St
Escanaba, MI 49829-3815

Phone

(906) 233-9762

Fax

(906) 233-9763

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Patrick W Bozarth

Title

Owner

Phone

(906) 233-9762

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1043344690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N 9TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293815",
            "telephone_number": "906-233-9762",
            "fax_number": "906-233-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N 9TH ST",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498293815",
            "telephone_number": "906-233-9762",
            "fax_number": "906-233-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W BOZARTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "BOZARTH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-233-9762"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0B11006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Escanaba, MI
• Providers in Escanaba, MI by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.