John Patrick, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

55391 Issued in MA

Practice address

330 Mount Auburn St
Walk-in Center
Cambridge, MA 02138-5502

Phone

(617) 499-5065

Fax

(617) 499-5686

NPI assigned

Jan 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mt Auburn Prof Services

  • Sleep Disorder Diagnostic Clinic/Center
  • Cambridge, MA
  • NPI 1326202797
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528038882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARSENAL MARKET PL",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024725018",
            "telephone_number": "617-673-1851",
            "fax_number": "617-499-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 MOUNT AUBURN ST",
            "address_2": "WALK-IN CENTER",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385502",
            "telephone_number": "617-499-5065",
            "fax_number": "617-499-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "55391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042651",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathology Services Inc
• Pathology Services Inc
• Patient Price, Inc
• Carlos Andres Patino, MD
• Denise M Patnod, LIC. AC.
• Patriot Urgent Care Professionals PC
• Patriot Urgent Care Professionals, PC
• Jennifer Patton, PH.D.
• Paula Sones, DDS, PC
• Bridgit Anne Paula, RN

• Emergency Medicine Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.