Sonnel J Patrick, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

039208 Issued in CT

Practice address

475 Chase Pkwy
Waterbury, CT 06708-3339

Phone

(203) 755-8701

Fax

(203) 755-7341

NPI assigned

Feb 14, 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

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Allergy/Immunology

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spatrick@direct.wtbyhosp.org

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.

• Allergy Associates of Waterbury, P.C.

  • Allergy & Immunology Physician
  • Waterbury, CT
  • NPI 1073602959
  Medicare reassignment NPD
• Paul B Lang MD PC

  • Allergy & Immunology Physician
  • New Hyde Park, NY
  • NPI 1073503249
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1184698565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083339",
            "telephone_number": "203-755-8701",
            "fax_number": "203-755-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CHASE PKWY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083339",
            "telephone_number": "203-755-8701",
            "fax_number": "203-755-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "SONNEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "039208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pathway Health LLC
• Pathways to Living LLC
• Ariadna Patino
• Maria Patrascu, MD
• Lizana Patrick
• Christopher Patterson
• Miyoshi Patterson
• Angelina Pattivina
• Asia Patton
• Jessy Paul

• Allergy & Immunology Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Allergy & Immunology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.