Active NPI
Mark Patrick, MD
- Anesthesiology Physician
- Westwood, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD07490
- Practice address
- 690 Canton St
Suite 325
Westwood, MA 02090-2321 - Phone
- (781) 407-7713
- Fax
- (781) 407-0998
- NPI assigned
- Jul 21, 2005
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD07490 | RI | Primary |
Addresses
Primary practice location
690 Canton St
Suite 325
Westwood, MA 02090-2321
Mailing address
455 Toll Gate Rd
Warwick, RI 02886-2759
Phone (401) 738-1516
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000250 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1526 Atwood Ave
Johnston, RI 02919-3289
Phone (401) 459-3800
Hospital & facility affiliations
- Kent County Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JJM Medical Services, PC | Anesthesiology | Current | Accepting new patients |
| Narragansett Bay Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| Atlantic Anesthesia, P.C. | Anesthesiology | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Steward Medical Group, Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesia Associates of Kent County, LLC | Anesthesiology | Past | Accepting new patients |
Locations
138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302
100 Morse St
Norwood, MA 02062
Phone (781) 255-0362
1440 Main St
Waltham, MA 02451
Phone (781) 891-9300
690 Canton St
Ste 325
Westwood, MA 02090
Phone 7814077713307
300 Grove St
Worcester, MA 01605
Phone (508) 754-0700
1526 Atwood Ave
Ste 300
Johnston, RI 02919
Phone (401) 459-3800
825 Chalkstone Ave
Providence, RI 02908
Phone (401) 456-2000
100 Kenyon Ave
Wakefield, RI 02879
Phone (401) 782-8000
455 Toll Gate Rd
Warwick, RI 02886
Phone (401) 737-7000
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Warwick, RI
- NPI 1861445728
-
- Anesthesiology Physician
- Norwood, MA
- NPI 1700061652
-
- Anesthesiology Physician
- Waltham, MA
- NPI 1952548265
-
- Anesthesiology Physician
- Fall River, MA
- NPI 1043711914
-
- Specialist
- Brighton, MA
- NPI 1356654495
-
- Anesthesiology Physician
- Warwick, RI
- NPI 1841213857
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Warwick, RI
- NPI 1023017944
-
- General Acute Care Hospital
- Warwick, RI
- NPI 1386643294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1821098765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 TOLL GATE RD",
"city": "WARWICK",
"state": "RI",
"postal_code": "028862759",
"telephone_number": "401-738-1516",
"fax_number": "401-738-8837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 CANTON ST",
"address_2": "SUITE 325",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902321",
"telephone_number": "781-407-7713",
"fax_number": "781-407-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "MARK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-21",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "RI",
"license": "MD07490",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7000250",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.