Timothy Michael Patno

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

RN2295576 Issued in MA

Practice address

200 Groton Rd
Ayer, MA 01432-1168

Phone

(978) 784-9290

NPI assigned

Mar 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1154955904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 SPEC POND AVE",
            "city": "LANCASTER",
            "state": "MA",
            "postal_code": "015233071",
            "telephone_number": "978-569-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321168",
            "telephone_number": "978-784-9290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATNO",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MA",
            "license": "RN2295576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Omodiagbe
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• Carol Ann Orton, F.N.P.
• Dean J. Overmiller, PHARM.D.
• Bradford Parmenter, LICSW
• Paul L Gunderson, M.D., P.C.
• Paul P. Harasimowicz,III,M.D.,P.C.
• Judith Marie Pentedemos, NP
• Salvatore Perla, DRPH
• Peter Muz, M.D., P.C.

• Registered Nurse First Assistant in Ayer, MA
• Providers in Ayer, MA by specialty
• Registered Nurse First Assistant in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.