Gregory A Patchen, DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AZ2996 Issued in AZ

Practice address

2058 S Dobson Rd
#15
Mesa, AZ 85202-6454

Phone

(480) 839-5800

Fax

(480) 839-5804

NPI assigned

May 31, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Family Practice

Education

College of Osteo Med of the Pacific at Pomona, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Gregory a Patchen DO PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1649443672
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202256000000",
    "number": "1215974209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "#15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026455",
            "telephone_number": "480-839-5800",
            "fax_number": "480-839-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "#15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026454",
            "telephone_number": "480-839-5800",
            "fax_number": "480-839-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATCHEN",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "DO PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2008-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ2996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "Z26429",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Passion on Purpose LLC
• Ada Pastor, O.T.R.
• Jennifer Pastores
• Juanario Alberto Pastorin
• Neal Patrick Patalinghug, M.D.
• Alpesh Patel, M.D.
• Amita Patel
• Amol Rohit Patel, MD
• Bhavin Patel, PHARMD
• Chikal A Patel, M.D.

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.