Douglas Patch MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MA75726 Issued in MA

Legal business name

DOUGLAS PATCH MD PC

Practice address

125 Parker Hill Ave
Suite 580
Roxbury Crossing, MA 02120-2847

Phone

(617) 264-4848

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Douglas A Patch, M.D.

Title

Orthopaedic Surgeon

Phone

(617) 264-4848

Specialties & licenses 1

Addresses

Other identifiers 6

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1902070568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "address_2": "SUITE 580",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-264-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PARKER HILL AVE",
            "address_2": "SUITE 580",
            "city": "ROXBURY CROSSING",
            "state": "MA",
            "postal_code": "021202847",
            "telephone_number": "617-264-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS PATCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "PATCH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "617-264-4848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "MA75726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "758540",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA / US HEALTH",
            "identifier": "2531964",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "09-00839",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INTERNATIONAL",
            "identifier": "4396480",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J12247",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "172736",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Christina Distasio, PA
• Nurulla Diyanat, DMD
• Elizabeth Donato
• Janice Gail Doren, PT
• Heather A Doris, MSPT
• Charles Joseph Dow, M.D.
• Stephen B Dowton, M.D.
• Dr. Gerald Miley
• Ashley Caroline Drinker, OTR L
• Lucianaga Renee Edwards

• Orthopaedic Surgery Physician in Roxbury Crossing, MA
• Providers in Roxbury Crossing, MA by specialty
• Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.