Patrick Robert Morath Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

1796G Issued in WI

Practice address

210 McClellan St
Suite 310
Wausau, WI 54403

Phone

(715) 845-5597

Fax

(715) 845-5597

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265652226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 MCCLELLAN ST",
            "address_2": "SUITE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-845-5597",
            "fax_number": "715-845-5597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MCCLELLAN ST",
            "address_2": "SUITE 310",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "54403",
            "telephone_number": "715-845-5597",
            "fax_number": "715-845-5597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORATH",
        "first_name": "PATRICK",
        "middle_name": "ROBERT",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "1796G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Moore, P.T.
• Emilee Mootz, RN, BSN
• Sydney Elizabeth Mootz, PA-C
• Samantha Marie Morache, DPT
• Timothy John Moran, M.D.
• Danielle Morgan, OTR/L
• Erin Elizabeth Morgan, MS. LCSW
• James T Morgan, RN
• Katie M Morgan, RN
• Cristina Alexandra Morin

• Dentist in Wausau, WI
• Providers in Wausau, WI by specialty
• Dentist in Wisconsin

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.