Active NPI
Patrick List, MD
- Sports Medicine (Internal Medicine) Physician
- Austin, TX
National Provider Identifier
1306810585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- 27489
- Practice address
- 100 W Dean Keeton
Uhs
Austin, TX 78712 - Phone
- (512) 485-8406
- NPI assigned
- Feb 15, 2006
- Last updated
- Aug 11, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101238459 | VA | |
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | 27489 | OR | Primary |
Addresses
Primary practice location
100 W Dean Keeton
Uhs
Austin, TX 78712
Mailing address
PO Box 7339
Uhs
Austin, TX 78713-7339
Phone (512) 485-8406
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001036 | Other | VA | SENTARA/OPTIMA |
| 541595397 | Other | VA | VIRGINIA HEALTH NETWORK |
| 186203 | Other | VA | ANTHEM |
| 7231606 | Other | VA | AETNA |
| 541595397 | Other | VA | MID ATLANTIC SOLUTIONS |
| 010207088 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27489 | OR | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alabama Sports Medicine and Ortho Center | Past | Accepting new patients | |
| Bayview Medical Center, Inc | Past | Accepting new patients | |
| Andrews Sports Medicine and Orthopaedic Center | Past | Accepting new patients | |
| Bayview Physician Services, PC | Past | Accepting new patients | |
| Slocum Orthopedics, PC | Past | Accepting new patients | |
| Franklin Square Hospital Center, Inc. | Past | Accepting new patients |
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- NPI 1679617526
-
dba LMC Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Suffolk, VA
- NPI 1568466209
-
dba MedStar Orthopedics
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1952722837
-
- Orthopaedic Surgery Physician
- Eugene, OR
- NPI 1881694867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281484800000",
"number": "1306810585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7339",
"address_2": "UHS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787137339",
"telephone_number": "512-485-8406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W DEAN KEETON",
"address_2": "UHS",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78712",
"telephone_number": "512-485-8406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIST",
"first_name": "PATRICK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-15",
"last_updated": "2010-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101238459",
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "OR",
"license": "27489",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA/OPTIMA",
"identifier": "10001036",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "541595397",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "186203",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7231606",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MID ATLANTIC SOLUTIONS",
"identifier": "541595397",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010207088",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.