Individual provider Active NPI

Patricia B Gotsch, MD

  • Family Medicine Physician
  • Oakland, MD
National Provider Identifier
1265495170
Registry record updated Oct 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D0045071 Issued in MD
Practice address
255 N 4TH St
Suite 1
Oakland, MD 21550-1340
Phone
(301) 533-1046
Fax
(301) 533-1049
NPI assigned
Apr 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0045071 MD Primary

Addresses

Primary practice location

255 N 4TH St
Suite 1
Oakland, MD 21550-1340

Mailing address

255 N 4TH St
Suite 1
Oakland, MD 21550-1340
Phone (301) 533-1046

Other names 1

  • Patricia Beck Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040611000540 MD Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 8426031287 Reassigns benefits to 1 organization
I20190722000581 GA Practitioner - Family Practice 8426031287 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82563GAMDEmergency Medicine Physician
D0045071MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Savopoulos Professional, LLC Family Medicine Current Accepting new patients
Savopoulos Professional, LLC Family Medicine CurrentSince Mar 19, 2011 Accepting new patients

Locations

255 N 4th St
Ste 1
Oakland, MD 21550
Phone (301) 533-1046

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288310400000",
    "number": "1265495170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501340",
            "telephone_number": "301-533-1046",
            "fax_number": "301-533-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N 4TH ST",
            "address_2": "SUITE 1",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215501340",
            "telephone_number": "301-533-1046",
            "fax_number": "301-533-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTSCH",
        "first_name": "PATRICIA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0045071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "BECK",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oakland, MD

Sources for this page

Verify at the official NPI Registry.