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

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.

Title

Owner

Phone

(806) 352-1185

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174819602",
            "state": "TX"
        }
    ],
    "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

• All providers in Amarillo, TX
• 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.