Gregory a Patchen DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

AZ2996 Issued in AZ

Legal business name

GREGORY A PATCHEN DO PC

Doing business as

Patchen Family Practice

Practice address

2058 S Dobson Rd
Suite 15
Mesa, AZ 85202-6454

Phone

(480) 839-5800

Fax

(480) 839-5804

NPI assigned

Apr 10, 2008

Organization subpart

No

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

Authorized official

Name

Gregory A Patchen, DONPI 1215974209

Title

Physician

Phone

(480) 839-5800

Specialties & licenses 1

Addresses

Other names 1

• Patchen Family Practice Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Gregory A Patchen, DO PC

  • Family Medicine Physician
  • Mesa, AZ
  • NPI 1215974209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1649443672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 S COMANCHE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866466",
            "telephone_number": "480-839-5800",
            "fax_number": "480-839-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2058 S DOBSON RD",
            "address_2": "SUITE 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026454",
            "telephone_number": "480-839-5800",
            "fax_number": "480-839-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY A PATCHEN DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "PATCHEN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "480-839-5800",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "AZ2996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patchen Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Elizabeth Greer, FNP
• Greg Alaestante DO PC
• Kaitlyn Claire Grega, RBT
• Gregg Smith D.O., P.C.
• Jayce Gregg
• Gregory D Layton, MD, PLC
• Rebecca S Gregory, AU.D.
• Lindsey Marie Gress
• Teresa Greth, LMFT
• Shannon R Grew, PA-S1

• Family Medicine Physician in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.