Patrick Proffer, M.D.,P.a.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

M0532 Issued in TX

Legal business name

PATRICK PROFFER, M.D.,P.A.

Practice address

1611 Wallace Blvd
Amarillo, TX 79106-1763

Phone

(806) 352-1185

NPI assigned

Feb 7, 2008

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Patrick J Proffer, M.D.NPI 1952399206

Title

Owner

Phone

(806) 352-1185

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Jonathan Proffer, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Amarillo, TX
  • NPI 1952399206
  Authorized official Same address or phone

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1497933949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-352-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 WALLACE BLVD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791061763",
            "telephone_number": "806-352-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK PROFFER, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "PROFFER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-352-1185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "M0532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinodkumar Somabhai Patel, M.D.
• Viralkumar Naginbhai Patel, D.D.S.
• Kyndal Paterakis
• Jaya M Pathapati, OD
• Srinivas Pathapati, MD
• Patriot Placement Recruitment LLC
• Emma Patterson
• Jill Boxwell Patterson, OT
• Lindsaye Brooke Patterson, FNP-BC
• Teresa Pattison-Thomas, PA

• Plastic Surgery Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.