Active NPI
Patricia Kaye Catrow, D.O.
- Family Medicine Physician
- Minot AFB, ND
National Provider Identifier
1306191689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2639
- Practice address
- 10 Missile Ave
Minot AFB, ND 58705 - Phone
- (701) 723-5633
- NPI assigned
- Jul 23, 2012
- Last updated
- Aug 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1652 | NE | |
| Family Medicine Physician | 207Q00000X | 2639 | TN | Primary |
Addresses
Primary practice location
10 Missile Ave
Minot AFB, ND 58705
Mailing address
10 Missile Ave
Minot AFB, ND 58705-5003
Other practice location 1
701 Hospital Loop Bldg 9000
Fairchild AFB, WA 99011
Phone (509) 247-5661
Other practice location 2
86th Medical Group Unit 3215
Apo, AE 09012-3215
Phone (314) 479-2668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150206000467 | TX | Order and Referring Only - Family Practice | 8729303151 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2639 | TN | MD | Chiropractor |
| 1652 | NE | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1306191689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MISSILE AVE",
"city": "MINOT AFB",
"state": "ND",
"postal_code": "587055003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MISSILE AVE",
"city": "MINOT AFB",
"state": "ND",
"postal_code": "58705",
"telephone_number": "701-723-5633"
}
],
"practiceLocations": [
{
"address_1": "701 Hospital Loop Bldg 9000",
"address_purpose": "LOCATION",
"city": "Fairchild AFB",
"state": "WA",
"postal_code": "99011",
"country_code": "US",
"telephone_number": "509-247-5661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "86th Medical Group Unit 3215",
"address_purpose": "LOCATION",
"city": "APO",
"state": "AE",
"postal_code": "090123215",
"country_code": "US",
"telephone_number": "314-479-2668",
"country_name": "United States",
"address_type": "MIL"
}
],
"basic": {
"last_name": "CATROW",
"first_name": "PATRICIA",
"middle_name": "KAYE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-23",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "1652",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "2639",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minot AFB, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.