Robert M Patacsil DO PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

065296 Issued in GA

Legal business name

ROBERT M PATACSIL DO PC

Doing business as

Robert M Patacsil DO

Practice address

311 Peachtree St
Jesup, GA 31545-0245

Phone

(912) 427-9169

Fax

(912) 427-9171

NPI assigned

Dec 27, 2010

Organization subpart

No

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

Authorized official

Name

Robert M Patacsil, DO

Title

Owner

Phone

(912) 427-9169

Specialties & licenses 1

Addresses

Other names 1

• Robert M Patacsil DO Doing business as

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1164726659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-427-9169",
            "fax_number": "912-427-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450245",
            "telephone_number": "912-427-9169",
            "fax_number": "912-427-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M PATACSIL DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "PATACSIL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-427-9169",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "065296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert M Patacsil DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Steven Austin Roth, MD

• Surgery Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.