Active NPI
Patrick Jones, PA
- Physician Assistant
- Bremerton, WA
National Provider Identifier
1770912941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TA 60332226
- Practice address
- 4124 Ridgeway PL
Unit a
Bremerton, WA 98312-1604 - Phone
- (360) 377-6086
- NPI assigned
- Nov 7, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TA 60332226 | WA | Primary |
Addresses
Primary practice location
4124 Ridgeway PL
Unit a
Bremerton, WA 98312-1604
Mailing address
4124 Ridgeway PL
Unit a
Bremerton, WA 98312-1604
Phone (360) 377-6086
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA 60332226 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383782400000",
"number": "1770912941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4124 RIDGEWAY PL",
"address_2": "UNIT A",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983121604",
"telephone_number": "360-377-6086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4124 RIDGEWAY PL",
"address_2": "UNIT A",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983121604",
"telephone_number": "360-377-6086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PATRICK",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-07",
"last_updated": "2013-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "TA 60332226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.