Active NPI
Ronald D Patrick, M.D.
- Surgery Physician
- McDonough, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036427
- Practice address
- 366 Racetrack Rd
McDonough, GA 30252-1022 - Phone
- (678) 759-8401
- Fax
- (678) 759-8403
- NPI assigned
- Dec 21, 2005
- Last updated
- Oct 23, 2013
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036427 | GA | Primary |
Addresses
Primary practice location
366 Racetrack Rd
McDonough, GA 30252-1022
Mailing address
366 Racetrack Rd
McDonough, GA 30252-1022
Phone (678) 759-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000525819D | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, TN, IL, DE, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Medical College of Georgia School of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bayhealth Medical Center, Inc
Practice addresses (Care Compare)
100 Wellness Way
Milford, DE 19963-4364
Phone (302) 744-4700
724 S New St
Bayhealth General Surgery Dover
Dover, DE 19904-3540
Phone (302) 674-4070
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bayhealth Medical Center, Inc. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Surgery | Current | Accepting new patients |
| Bayhealth Medical Center, Inc | Surgery | Current | Accepting new patients |
| Calais Community Hospital | Current | Accepting new patients | |
| Ut Methodist Physicians LLC | Surgery | Current | Accepting new patients |
| Calais Community Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Bayhealth Medical Center, Inc | Current | Accepting new patients | |
| Calais Community Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Ottawa Regional Medical Center Inc. | Past | Accepting new patients | |
| Shepherd Resources | Past | Accepting new patients | |
| Modern Podiatry, LLC | Past | Accepting new patients |
Locations
640 S State St
Dover, DE 19901
Phone (302) 744-4700
724 S New St
Dover, DE 19904
Phone (302) 674-4070
100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311
18383 Hudson Rd
Milton, DE 19968
Phone (302) 725-3499
1050 E Norris Dr
Ste 3A
Ottawa, IL 61350
Phone (815) 431-5746
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5668 E State St
Rockford, IL 61108
Phone (815) 229-7580
5668 E State St
Ste 1000
Rockford, IL 61108
Phone (815) 229-7580
24 Hospital Ln
Calais, ME 04619
Phone (207) 454-9213
1325 Eastmoreland Ave
Ste 310
Memphis, TN 38104
Phone (901) 272-6010
1325 Eastmoreland Ave
Ste 370
Memphis, TN 38104
Phone (901) 516-8785
Interoperability endpoints
- ronald.patrick@hca5.eclinicaldirectplus.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bayhealth Physicians
- Colon & Rectal Surgery Physician
- Dover, DE
- NPI 1285809509
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Surgery Physician
- McDonough, GA
- NPI 1053649608
-
- Orthopaedic Surgery Physician
- Milford, DE
- NPI 1245099118
-
- Gastroenterology Physician
- Milford, DE
- NPI 1639938525
-
- Medicare Defined Swing Bed Hospital Unit
- Calais, ME
- NPI 1376546143
-
dba Baileyville Medical Center
- Rural Health Clinic/Center
- Baileyville, ME
- NPI 1467205112
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Podiatric Clinic/Center
- McDonough, GA
- NPI 1811538390
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bayhealth Hospital, Sussex Campus
- General Acute Care Hospital
- Milford, DE
- NPI 1023006434
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- Critical Access Hospital
- Calais, ME
- NPI 1922001049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1679559728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "366 RACETRACK RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521022",
"telephone_number": "678-759-8401",
"fax_number": "678-759-8403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "366 RACETRACK RD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302521022",
"telephone_number": "678-759-8401",
"fax_number": "678-759-8403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "RONALD",
"middle_name": "D",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-21",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "GA",
"license": "036427",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000525819D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.