Patrick John Parden, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

M4785 Issued in ID

Practice address

1814 Lincoln Way
Coeur D Alene, ID 83814-2540

Phone

(208) 667-2531

Fax

(208) 765-9385

NPI assigned

Jan 29, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1386780484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142540",
            "telephone_number": "208-667-2531",
            "fax_number": "208-765-9385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142540",
            "telephone_number": "208-667-2531",
            "fax_number": "208-765-9385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDEN",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "ID",
            "license": "M4785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "47852",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH IDAHO CATARACT & LA",
            "identifier": "15180003516",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD OF ID",
            "identifier": "000010006057",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003888500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Pana, MD
• Panhandle Behavioal Health
• Amanda Michele Pankratz
• Craig James Panos, M. D.
• Erica Lynn Panttaja, APRN
• Jamie Lee Park, PHARM.D.
• Kristin Park, MSMFT, LMFT
• Travis Anthony Park, PHARMD.
• Courtney L Parker, NP
• David Parker, MD

• Ophthalmology Physician in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Ophthalmology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.