David Patch, ATC, MED

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

Orthopaedic Surgery Residency Program Uab
Birmingham, AL 35294-0001

Phone

(205) 934-6413

NPI assigned

Jul 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1134536881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEDIATRIC RESIDENCY PROGRAM, MEMORIAL UNIVERSITY",
            "address_2": "MEDICAL CENTER 4700 WATERS AVENUE",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "31404",
            "telephone_number": "912-350-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORTHOPAEDIC SURGERY RESIDENCY PROGRAM UAB",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352940001",
            "telephone_number": "205-934-6413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Pediatric Residency Program, Memorial University",
            "address_2": "Medical Center 4700 Waters Avenue",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "31404",
            "country_code": "US",
            "telephone_number": "912-350-8193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Trillium Ter",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312108021",
            "country_code": "US",
            "telephone_number": "478-718-1804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATCH",
        "first_name": "DAVID",
        "credential": "ATC, MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "2000009788",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1134536881",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caroline Beesley Pate, O.D.
• Loren Brook Pate, RN
• Raymond L Pate, D.M.D.
• Samantha Pate, LBA, BCBA
• Tori Kirsten Pate

• Student in an Organized Health Care Education/Training Program in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Student in an Organized Health Care Education/Training Program in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.