Patrick Phan, M.D., P.S.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00026346 Issued in WA

Legal business name

PATRICK PHAN, M.D., P.S.

Doing business as

Patrick Phan, M.D., P.S.

Practice address

2902 112TH Ave SE
Bellevue, WA 98004-7528

Phone

(206) 725-4322

NPI assigned

Jul 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Patrick T. Phan, M.D.

Title

President

Phone

(206) 725-4322

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Patrick Phan, M.D., P.S. Doing business as

Locations

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1841420593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 112TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047528",
            "telephone_number": "206-725-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 112TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980047528",
            "telephone_number": "206-725-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK PHAN, M.D., P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-725-4322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00026346",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD00026346",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1087196",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086792",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982800",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patrick Phan, M.D., P.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sumathy T Pathy, M.D.
• Patricia a Martin MD PLLC
• Patricia K. Youngman, Inc.
• Patricia L Paddison, MD, PLLC
• Patrick Mathiasen MD
• Ross Patrick, DO
• Gina Marie Patrito, M.D.
• Natasha Vernice Patterson, ACNS-BC
• Shanna R Patterson, LMP
• Patti Davis Counseling

• Psychiatry Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.