Organization Active NPI

Vinod K Patwa MD Inc

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1184750143
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35043424 Issued in OH
Legal business name
VINOD K PATWA MD INC
Practice address
1 Elizabeth PL
Suite 111
Dayton, OH 45408-1445
Phone
(937) 228-0579
Fax
(937) 228-0592
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Vinod K. Patwa, M.D.
Title
President
Phone
(937) 228-0579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35043424 OH Primary

Addresses

Primary practice location

1 Elizabeth PL
Suite 111
Dayton, OH 45408-1445

Mailing address

1 Elizabeth PL Ste 111
Vinod K. Patwa M.D. Inc.,
Dayton, OH 45417-3445
Phone (937) 228-0579

Other identifiers 1

IdentifierTypeStateIssuer
0414591MedicaidOH

National Provider Directory

National Provider Directory

Locations

1 Elizabeth Pl
Ste 111
Dayton, OH 45417
Phone (937) 228-0579

1 Elizabeth Pl
Ste A
Dayton, OH 45417
Phone (937) 234-0100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1184750143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL STE 111",
            "address_2": "VINOD K. PATWA M.D. INC.,",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-228-0579",
            "fax_number": "937-228-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "SUITE 111",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454081445",
            "telephone_number": "937-228-0579",
            "fax_number": "937-228-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINOD K PATWA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "PATWA",
        "authorized_official_first_name": "VINOD",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-228-0579",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35043424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414591",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2013; 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.