NPIMap

Organization Active NPI

Carol M. Patin, M.D.,a Professional Medical Corporation

  • Obstetrics & Gynecology Physician
  • Baton Rouge, LA
National Provider Identifier
1235398850
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
019120 Issued in LA
Legal business name
CAROL M. PATIN, M.D.,A PROFESSIONAL MEDICAL CORPORATION
Practice address
8595 Picardy Ave
Suite 230
Baton Rouge, LA 70809-3670
Phone
(225) 763-4990
Fax
(225) 763-4987
NPI assigned
Jun 9, 2008
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Carol M. Patin, M.D.NPI 1033141056
Title
Owner.Physician
Phone
(225) 763-4990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 019120 LA Primary

Addresses

Primary practice location

8595 Picardy Ave
Suite 230
Baton Rouge, LA 70809-3670

Mailing address

8595 Picardy Ave
Suite 230
Baton Rouge, LA 70809-3670
Phone (225) 763-4990

Other identifiers 1

IdentifierTypeStateIssuer
1038245MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1212969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1235398850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE",
            "address_2": "SUITE 230",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093670",
            "telephone_number": "225-763-4990",
            "fax_number": "225-763-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8595 PICARDY AVE",
            "address_2": "SUITE 230",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093670",
            "telephone_number": "225-763-4990",
            "fax_number": "225-763-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL M. PATIN, M.D.,A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "PATIN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER.PHYSICIAN",
        "authorized_official_telephone_number": "225-763-4990",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "019120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1038245",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.