Patricia a Mahoney MD PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

PATRICIA A MAHONEY MD PA

Practice address

717 S State St Ste 900
Fairmont, MN 56031-4478

Phone

(507) 238-4949

Fax

(507) 238-3378

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia A. Mahoney, M.D.NPI 1861470007

Title

President

Phone

(507) 238-4949

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Patricia Ann Mahoney, MD

  • Surgery Physician
  • Pampa, TX
  • NPI 1861470007
  NPD (past) Authorized official

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1396790374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S STATE ST STE 900",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314478",
            "telephone_number": "507-238-4949",
            "fax_number": "507-238-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S STATE ST STE 900",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560314478",
            "telephone_number": "507-238-4949",
            "fax_number": "507-238-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA A MAHONEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "MAHONEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-238-4949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "069N7MA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Kay Ovrebo, PSY.D., LP
• Amy M Paradis, PHARMD
• Kaci Lei Paradis, CNP
• Steven Edward Parnell, MD
• Mark Lee Paskey
• Kent Michael Patrick, MD
• Myrna Joy Peters, MSN, RN, C-FNP
• Celia Marie Petrowiak
• Cody Petrowiak
• Whitney Philipp

• Surgery Physician in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Surgery Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.