NPIMap

Organization Active NPI

Patrick McDonough LLC

  • Gastroenterology Physician
  • Bridgeton, MO
National Provider Identifier
1659512739
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
2007012223 Issued in MO
Legal business name
PATRICK MCDONOUGH LLC
Practice address
12266 De Paul Dr Ste 300
Bridgeton, MO 63044-2562
Phone
(314) 291-8824
Fax
(314) 291-2663
NPI assigned
Mar 18, 2009
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Dr. Patrick B McDonough, MDNPI 1770791832
Title
President
Phone
(314) 291-8824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 2007012223 MO Primary

Addresses

Primary practice location

12266 De Paul Dr Ste 300
Bridgeton, MO 63044-2562

Mailing address

12266 De Paul Dr Ste 300
Bridgeton, MO 63044-2562
Phone (314) 291-8824

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1659512739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR STE 300",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442562",
            "telephone_number": "314-291-8824",
            "fax_number": "314-291-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12266 DE PAUL DR STE 300",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442562",
            "telephone_number": "314-291-8824",
            "fax_number": "314-291-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK MCDONOUGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-291-8824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "2007012223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.