Organization Active NPI

Jorge a. Patino MD, PA

  • Pediatrics Physician
  • Brownsville, TX
National Provider Identifier
1497714281
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
K6684 Issued in TX
Legal business name
JORGE A. PATINO MD, PA
Practice address
5460 Paredes Line Rd
Suite 198
Brownsville, TX 78526-9740
Phone
(956) 542-3200
Fax
(956) 504-6733
NPI assigned
Mar 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Jorge A. Patino, M.D., P.A.
Title
Doctor/Owner
Phone
(956) 542-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X K6684 TX Primary

Addresses

Primary practice location

5460 Paredes Line Rd
Suite 198
Brownsville, TX 78526-9740

Mailing address

5460 Paredes Line Rd
Suite 198
Brownsville, TX 78526-9740
Phone (956) 542-3200

Other identifiers 5

IdentifierTypeStateIssuer
092281704MedicaidTX
092281705MedicaidTX
092281708MedicaidTX
092281703MedicaidTX
092281707MedicaidTX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0990053Jorge a Patino MD PA5460 North Paredes Line Road Suite 198, Brownsville, TX 78526ComplianceFeb 13, 2028

National Provider Directory

National Provider Directory
Tax ID family
Jorge a Patino MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3704/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1497714281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "SUITE 198",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-542-3200",
            "fax_number": "956-504-6733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 PAREDES LINE RD",
            "address_2": "SUITE 198",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785269740",
            "telephone_number": "956-542-3200",
            "fax_number": "956-504-6733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE A. PATINO MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "PATINO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "956-542-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K6684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092281704",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092281705",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092281708",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092281703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092281707",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.