Active NPI
William Quell Patrick Jr., CSA
- Surgical Physician Assistant
- Rockville, MD
National Provider Identifier
1669662540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- SA0015
- Practice address
- 1 Research CT
Suite 450
Rockville, MD 20850-3221 - Phone
- (240) 403-4067
- Fax
- (301) 519-8001
- NPI assigned
- Jul 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | SA0015 | DC | Primary |
Addresses
Primary practice location
1 Research CT
Suite 450
Rockville, MD 20850-3221
Mailing address
1 Research CT
Suite 450
Rockville, MD 20850-3221
Phone (240) 403-4067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA0015 | DC | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243814400000",
"number": "1669662540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RESEARCH CT",
"address_2": "SUITE 450",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503221",
"telephone_number": "240-403-4067",
"fax_number": "301-519-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RESEARCH CT",
"address_2": "SUITE 450",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503221",
"telephone_number": "240-403-4067",
"fax_number": "301-519-8001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "WILLIAM",
"middle_name": "QUELL",
"name_suffix": "Jr.",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-27",
"last_updated": "2009-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "DC",
"license": "SA0015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.