Patrick W. Shovlin III, MD, PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

J6725 Issued in TX

Legal business name

PATRICK W. SHOVLIN III, MD, PA

Practice address

4300 Windsor Centre TRL
Suite 400
Flower Mound, TX 75028-1862

Phone

(972) 219-6800

Fax

(972) 219-0053

NPI assigned

Jun 21, 2011

Organization subpart

No

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

Authorized official

Name

Patrick W. Shovlin III, MDNPI 1003908500

Title

President

Phone

(972) 219-6800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patrick William Shovlin III, MD

  • Surgery Physician
  • Flower Mound, TX
  • NPI 1003908500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1326334137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 WINDSOR CENTRE TRL",
            "address_2": "SUITE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281862",
            "telephone_number": "972-219-6800",
            "fax_number": "972-219-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 WINDSOR CENTRE TRL",
            "address_2": "SUITE 400",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750281862",
            "telephone_number": "972-219-6800",
            "fax_number": "972-219-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK W. SHOVLIN III, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "SHOVLIN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-219-6800",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J6725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127580201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nishant Jayanti Patel, MD
• Puja Mahendrakumar Patel, D.D.S.
• Shripal Priyesh Patel, OTR
• Pathology Health Associates of Texas
• Pathways4Success LLC
• Joshua Patterson, PA
• William R Patterson, DDS, MS
• Katelyn Patton, BCBA
• Paulina Pawlikowski, FNP-C
• Gordon Payne II, DC

• Specialist in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.