John Nick Patzakis, DO

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

34004003 Issued in OH

Practice address

99 Northline Cir
Suite 99
Euclid, OH 44119-1482

Phone

(440) 646-0755

Fax

(440) 995-5055

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Meridia Medical Group, LLC

  • Specialist
  • Warrensville Heights, OH
  • NPI 1316992944
  NPD

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093751448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5188 HICKORY DRIVE",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "440-646-0755",
            "fax_number": "440-995-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 NORTHLINE CIR",
            "address_2": "SUITE 99",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441191482",
            "telephone_number": "440-646-0755",
            "fax_number": "440-995-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATZAKIS",
        "first_name": "JOHN",
        "middle_name": "NICK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "34004003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0792227",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaadira Idrissa Patterson
• Marquis Tyree Patterson
• Sean Patterson, PA
• Trina Patterson, LPN
• Jaterra Patton
• Kristina Paulic, PHARM.D.
• Robyn Payne-Houston
• Imani Payne
• Tori Renee Payne, RN
• Trebiane Payne

• Vascular Surgery Physician in Euclid, OH
• Providers in Euclid, OH by specialty
• Vascular Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.