Individual provider Active NPI

Patricia Ann Mahoney, MD

  • Surgery Physician
  • Pampa, TX
National Provider Identifier
1861470007
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
L2439 Issued in TX
Practice address
3023 Perryton Pkwy Ste 101
Pampa, TX 79065-2817
Phone
(806) 665-0801
Fax
(806) 665-8503
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.126066 OH
Surgery Physician 208600000X 103202 MN
Surgery Physician 208600000X L2439 TX Primary
Surgery Physician 208600000X 90139 GA

Addresses

Primary practice location

3023 Perryton Pkwy Ste 101
Pampa, TX 79065-2817

Mailing address

3023 Perryton Pkwy Ste 101
Pampa, TX 79065-2817
Phone (806) 665-0801

Other identifiers 12

IdentifierTypeStateIssuer
157485100MedicaidMN
1861470007OtherMEDICA
0095HPOtherTXBCBS
069N7MAOtherMNBCBS
1861470007MedicaidIA
974311051958OtherPREFERREDONE
18722OtherAVERA HEALTH
139560OtherUCARE
150706301MedicaidTX
1861470007OtherAMERICAS PPO
60563OtherSANFORD
HP84008OtherHEALTHPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140904001760 TX Practitioner - General Surgery 7416956073 Reassigns benefits to 5 organizations
I20260511003378 NY Practitioner - General Surgery 7416956073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chenango Memorial Hospital IncGroup PAC ID 7517853633, 108 clinicians
Arlington Physician Services PAGroup PAC ID 8224256961, 43 clinicians

Practice addresses (Care Compare)

179 N Broad St
Norwich, NY 13815-1019
Phone (607) 337-4111

3500 W Wheatland Rd
Dallas, TX 75237-3460
Phone (214) 947-7281

4 Newton Ave
Uhs Medical Specialties Norwich
Norwich, NY 13815-1153
Phone (607) 336-2167

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L2439TXMDSurgery Physician
1239NDMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherokee Nation CurrentSince Jan 31, 2023 Accepting new patients
Hood Medical Group CurrentSince Dec 1, 2022 Accepting new patients
Cherokee Nation Current Accepting new patients
Texas Uvc Medical PLLC Surgery CurrentSince Jun 1, 2024 Accepting new patients
Cherokee Nation CurrentSince Jan 31, 2023 Accepting new patients
Arlington Physician Services PA Surgery CurrentSince Oct 2, 2025 Accepting new patients
Cherokee Nation Current Accepting new patients
Hood Medical Group Surgery CurrentSince Dec 1, 2022 Accepting new patients
The Fort Defiance Indian Hospital Board, Incorporation CurrentSince Jan 17, 2023 Accepting new patients
Clearwater County Memorial Hospital Past Accepting new patients
Patricia a Mahoney MD PA Surgery PastSince Jan 28, 2002 Accepting new patients
Home Dialysis of Illinois LLC PastSince Nov 30, 2023 Accepting new patients
Sweet Dreams Anesthesia PLLC Past Accepting new patients
Aurora Urgent Care LLC PastSince Oct 1, 2006 Accepting new patients
Aurora Surgery Center, LLC Past Accepting new patients
Northland Family Physicians LLC PastSince Sep 15, 2019 Accepting new patients

Locations

3820 Northdale Blvd
Ste 201
Tampa, FL 33624

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220

3500 W Wheatland Rd
Dallas, TX 75237
Phone (214) 947-5950

5801 Oakbend Trl
Ste 180
Ft Worth, TX 76132
Phone (817) 370-9010

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

9303 Pinecroft Dr
Ste 350
The Woodlands, TX 77380
Phone (281) 292-0121

Interoperability endpoints

  • Direct secure messaging: patricia.mahoney@uvvc.eclinicaldirectplus.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1861470007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY STE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652817",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3023 PERRYTON PKWY STE 101",
            "city": "PAMPA",
            "state": "TX",
            "postal_code": "790652817",
            "telephone_number": "806-665-0801",
            "fax_number": "806-665-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.126066",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "103202",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "L2439",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "90139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157485100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1861470007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0095HP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "069N7MA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861470007",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "974311051958",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA HEALTH",
            "identifier": "18722",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "139560",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150706301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "1861470007",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD",
            "identifier": "60563",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP84008",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pampa, TX

Sources for this page

Verify at the official NPI Registry.