Patricia Kaye Catrow, D.O.

Individual provider Active NPI Family Medicine Physician · Minot Afb, ND

NPI 1306191689 · NPPES record last updated Aug 27, 2021

Key facts

NPI
1306191689
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
2639 (TN)
Practice address
10 Missile Ave
Minot Afb, ND 58705
Phone
(701) 723-5633
NPI assigned
Jul 23, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150206000467 TX Order and Referring Only - Family Practice
Practitioner - Family Practice
8729303151

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2639TNMDFamily Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1652 NE
Family Medicine Physician 207Q00000X 2639 TN Yes

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

Other providers in Minot Afb, ND

All providers in Minot Afb, ND · Family Medicine Physician in North Dakota

Sources for this page

Verify at the official NPI Registry.