Patrick Holt King, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1389 Issued in SD

Practice address

415 W 3Rd St
Yankton, SD 57078-4201

Phone

(605) 665-9638

Fax

(605) 665-0526

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Willcockson Eye Associates, P.C.

  • Ophthalmology Physician
  • Yankton, SD
  • NPI 1992802920
  NPD (past)

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225756800000",
    "number": "1487657334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570780819",
            "telephone_number": "605-665-9638",
            "fax_number": "605-665-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W 3RD ST",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570784201",
            "telephone_number": "605-665-9638",
            "fax_number": "605-665-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "PATRICK",
        "middle_name": "HOLT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2008-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SD",
            "license": "1389",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "17531",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAKOTACARE PROVIDER ID",
            "identifier": "1389",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE BLUE SHIELD ID",
            "identifier": "22052",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD WELLMARK BLUE SHIELD",
            "identifier": "0009384",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-3050195-13",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36-3050195-14",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6300280",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NORFOLK, NE",
            "identifier": "NA1114003",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE MEDICARE PTAN O'NEILL, NE",
            "identifier": "NA1115003",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Ann Kelley, APRN, DNP
• Jessica Kelly
• Kent M. Patrick, M.D., P.C.
• Scott Kindle, MD
• Trevor Kindle
• Brandon Vincent Kirchner, PHARM D.
• Bradley J. Kleinsasser, M.D.
• Megan Klentz
• Alexia Klinkhammer, CRNA
• Alex Lynne Kneeland, OD

• Ophthalmology Physician in Yankton, SD
• Providers in Yankton, SD by specialty
• Ophthalmology Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.