Active NPI
John D Patz, DO
- Addiction Medicine (Family Medicine) Physician
- Monroe, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- OP00001308
- Practice address
- 14841 179TH Ave SE
Suite 210
Monroe, WA 98272-1127 - Phone
- (360) 217-1155
- Fax
- (360) 217-1154
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | OP00001308 | WA | Primary |
Addresses
Primary practice location
14841 179TH Ave SE
Suite 210
Monroe, WA 98272-1127
Mailing address
14841 179TH Ave SE
Suite 210
Monroe, WA 98272-1127
Phone (360) 217-1155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP00001308 | WA | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services-Wa | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Providence Health & Services-Wa | Current | Accepting new patients | |
| Public Hospital District No 1 of Snohomish County | Current | Accepting new patients | |
| Providence Health & Services-Washington | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Public Hospital District 1 of Snohomish County | Current | Accepting new patients | |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| The Polyclinic PLLC | Past | Accepting new patients |
Locations
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889
916 Pacific Ave
Fl First
Everett, WA 98201
Phone (425) 258-7390
900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
12303 NE 130th Ln
Ste 550
Kirkland, WA 98034
Phone (425) 899-3224
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
14841 179th Ave SE
Ste 210
Monroe, WA 98272
Phone (360) 217-1155
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Organizations & group practices 11
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Mammography Clinic/Center
- Everett, WA
- NPI 1336390442
-
- General Acute Care Hospital
- Monroe, WA
- NPI 1013074061
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Clinic/Center
- Redmond, WA
- NPI 1750612883
-
- Pediatric Nurse Practitioner
- Everett, WA
- NPI 1790936185
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1588294854
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Monroe, WA
- NPI 1770614273
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1073549002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14841 179TH AVE SE",
"address_2": "SUITE 210",
"city": "MONROE",
"state": "WA",
"postal_code": "982721127",
"telephone_number": "360-217-1155",
"fax_number": "360-217-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14841 179TH AVE SE",
"address_2": "SUITE 210",
"city": "MONROE",
"state": "WA",
"postal_code": "982721127",
"telephone_number": "360-217-1155",
"fax_number": "360-217-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATZ",
"first_name": "JOHN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "WA",
"license": "OP00001308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.