Patrick Roswell Maveety, M.D.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

MD13762 Issued in OR

Practice address

701 E. College St.
Newberg, OR 97132

Phone

(503) 554-1111

Fax

(503) 538-1695

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265535181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E. COLLEGE ST.",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-554-1111",
            "fax_number": "503-538-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E. COLLEGE ST.",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "97132",
            "telephone_number": "503-554-1111",
            "fax_number": "503-538-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVEETY",
        "first_name": "PATRICK",
        "middle_name": "ROSWELL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD13762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "291641",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liya Mathew, APRN
• Luke Charles Matteucci, MS, MA, NCC, MAC
• Matthew Frey, L.Ac., LLC
• Stephanie Joy Matthew, FNP-C
• James Michael Matthews, M.D.
• Kathryn R Mayer
• Erin Clare McBride, CNM
• Elizabeth Vareldzis McCarthy, RPH
• Jill R McCarty, RD
• Ellen Marie McChesney

• Gastroenterology Physician in Newberg, OR
• Providers in Newberg, OR by specialty
• Gastroenterology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.