Organization Active NPI

Kent M. Patrick, M.D., P.C.

  • Medical Specialty Clinic/Center
  • Yankton, SD
National Provider Identifier
1619229556
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KENT M. PATRICK, M.D., P.C.
Practice address
2525 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5370
Phone
(605) 260-2118
Fax
(605) 260-2119
NPI assigned
Oct 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Terry Michael Steichen
Title
Business Manager
Phone
(605) 665-5105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X SD Primary

Addresses

Primary practice location

2525 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5370

Mailing address

2525 Fox Run Pkwy
Suite 200
Yankton, SD 57078-5370
Phone (605) 260-2118

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1619229556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY",
            "address_2": "SUITE 200",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785370",
            "telephone_number": "605-260-2118",
            "fax_number": "605-260-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 FOX RUN PKWY",
            "address_2": "SUITE 200",
            "city": "YANKTON",
            "state": "SD",
            "postal_code": "570785370",
            "telephone_number": "605-260-2118",
            "fax_number": "605-260-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT M. PATRICK, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "STEICHEN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "605-665-5105"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yankton, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.