Timothy Nicholas Patselas, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

38162 Issued in NC

Practice address

255 Memorial Drive
Onslow Surgical Clinic PA
Jacksonville, NC 28546

Phone

(910) 353-7848

Fax

(910) 353-5052

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scotland Memorial Hospital Inc

  • Vascular Surgery Physician
  • Laurinburg, NC
  • NPI 1477791507
  Medicare reassignment NPD
• Scotland Memorial Hospital Inc

  • Surgery Physician
  • Laurinburg, NC
  • NPI 1104918754
  NPD

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1770529414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 MEMORIAL DRIVE",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-353-7848",
            "fax_number": "910-353-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 MEMORIAL DRIVE",
            "address_2": "ONSLOW SURGICAL CLINIC PA",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-353-7848",
            "fax_number": "910-353-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATSELAS",
        "first_name": "TIMOTHY",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "38162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8987952",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Swetang M Patel, MD
• Pathways to Life, Inc
• Alexandra Patil, DDS
• Devin N Patrick
• Patriotmed of North Carolina, P.C.
• Darrell Jay Patterson
• Howard Patterson, MS, NCC
• Patti Sperling Arnp LLC
• Kathryn R Patton, LCMHC
• Heather Paxton, LCMHCA

• Surgery Physician in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.