Patrick Edward Fallon, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

K5099 Issued in TX

Practice address

4110 Guadalupe St
Austin, TX 78751-4223

Phone

(512) 419-2783

Fax

(512) 419-2781

NPI assigned

Nov 30, 2006

Last updated

Jul 10, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215648000000",
    "number": "1780751867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-419-2783",
            "fax_number": "512-419-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 GUADALUPE ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787514223",
            "telephone_number": "512-419-2783",
            "fax_number": "512-419-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLON",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "K5099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0455032-04",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0092NG",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Falconhead Surgery Center LLC
• Andi Dey Faldyn, P.A.-C
• Mari Graceann Miller Falkenhagen
• Kevin Anthony Fall, LPC
• Gabrielle Fallacara
• Fallsway Capital PLLC
• Florence Olabisi Falola, NP
• Linda Falter
• Angela Shih Famechon, M.D.
• Lisa Famiglietti, MS CCCSLPA

• Psychiatry Physician in Austin, TX
• Providers in Austin, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; 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.