Active NPI
Patricia Barker Dearman, M.D.
- Ophthalmology Physician
- Taylor, TX
National Provider Identifier
1083616981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- E7335
- Practice address
- 603 Mallard LN
Taylor, TX 76574-1214 - Phone
- (512) 352-7664
- Fax
- (512) 365-5237
- NPI assigned
- Aug 11, 2005
- Last updated
- Jan 26, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | E7335 | TX | Primary |
Addresses
Primary practice location
603 Mallard LN
Taylor, TX 76574-1214
Mailing address
603 Mallard LN
Taylor, TX 76574-1214
Phone (512) 352-7664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123076503 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E7335 | TX | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232928000000",
"number": "1083616981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 MALLARD LN",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765741214",
"telephone_number": "512-352-7664",
"fax_number": "512-365-5237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 MALLARD LN",
"city": "TAYLOR",
"state": "TX",
"postal_code": "765741214",
"telephone_number": "512-352-7664",
"fax_number": "512-365-5237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARMAN",
"first_name": "PATRICIA",
"middle_name": "BARKER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2009-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "E7335",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123076503",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taylor, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.