Individual provider Active NPI

Patrick C Doran, PA-C

  • Medical Physician Assistant
  • Battle Creek, MI
National Provider Identifier
1295084267
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006434 Issued in MI
Practice address
363 Fremont St
Suite 203
Battle Creek, MI 49017-3389
Phone
(269) 969-6123
Fax
(269) 969-6122
NPI assigned
Sep 5, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006434 MI Primary

Addresses

Primary practice location

363 Fremont St
Suite 203
Battle Creek, MI 49017-3389

Mailing address

363 Fremont St
Suite 203
Battle Creek, MI 49017-3389
Phone (269) 969-6123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000329 MI Practitioner - Physician Assistant 2668621830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dayone Family Healthcare PCGroup PAC ID 2264494657, 16 clinicians

Practice addresses (Care Compare)

363 Fremont St
Suite 203
Battle Creek, MI 49017-3398
Phone (269) 969-6123

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Portage, MI, CCN 237085
  • Bronson Methodist Hospital Hospital, Kalamazoo, MI, CCN 230017
  • Bronson Battle Creek Hospital Hospital, Battle Creek, MI, CCN 230075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601006434MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dayone City Care Medical Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1295084267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 FREMONT ST",
            "address_2": "SUITE 203",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173389",
            "telephone_number": "269-969-6123",
            "fax_number": "269-969-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORAN",
        "first_name": "PATRICK",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-05",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.