Patella Medical, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATELLA MEDICAL, INC

Practice address

4 Bradley Park CT Ste 1B
Columbus, GA 31904-3636

Phone

(800) 215-1452

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Kathleen Lee Guc

Title

Ceo

Phone

(800) 215-1452

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1679087654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BRADLEY PARK CT STE 1B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043636",
            "telephone_number": "800-215-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BRADLEY PARK CT STE 1B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319043636",
            "telephone_number": "800-215-1452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATELLA MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "GUC",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-215-1452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagar Ashwin Patel, MD
• Sunnybhai K Patel, PHARM D.
• Tushar Patel
• Vaibhav Vinubhai Patel, M.D.
• Yashvant D Patel, MD
• Mohammed Y Pathan, MD
• Pathpro Diagnostics, LLC
• Pathway LLC
• Patricia R Corbin Otd-Ms-Otr-L
• Quenton Anthony Patrick, M.A.

• Durable Medical Equipment & Medical Supplies in Columbus, GA
• Providers in Columbus, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.