TJ Patrick Jr DPM LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

72 Issued in SC

Legal business name

TJ PATRICK JR DPM LLC

Practice address

121 Gillette CT
Spartanburg, SC 29302-3672

Phone

(864) 909-0724

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 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

Thomas J Patrick Jr., DPM

Title

Owner

Phone

(864) 909-0724

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370217600000",
    "number": "1649617499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 GILLETTE CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023672",
            "telephone_number": "864-909-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 GILLETTE CT",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293023672",
            "telephone_number": "864-909-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJ PATRICK JR DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-909-0724",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "72",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Caldwell Thurston, M.D.
• Jordanna Tillinghast, MSW, NCAC-I, CAC-II
• Jonathan Patrick Tillman, PA-C
• Joseline Chavez Timmons, ADC
• Tashianna S. Tinsley, PA-C
• TLC the Laser Center (Institute) Inc (TLC Sparantburg East)
• TLC the Laser Center (Institute) Inc. (TLC Spartanburg West)
• Todd D. Gwin, MD, PA
• Joan Shafer Todd, RPH
• Richard Tokar, DC

• Podiatrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Podiatrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.