Patrick A Kolwaite, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

TN1842 Issued in TN

Practice address

2465 Whitten Rd
Suite 104
Memphis, TN 38133-4722

Phone

(901) 386-0811

Fax

(901) 386-0812

NPI assigned

Jan 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Abcg, LLC

  • Chiropractor
  • Memphis, TN
  • NPI 1831307487
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932189925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 WHITTEN RD",
            "address_2": "SUITE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334722",
            "telephone_number": "901-386-0811",
            "fax_number": "901-386-0812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 WHITTEN RD",
            "address_2": "SUITE 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381334722",
            "telephone_number": "901-386-0811",
            "fax_number": "901-386-0812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLWAITE",
        "first_name": "PATRICK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "TN1842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "RR MEDICARE",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRINGS",
            "identifier": "U91606",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4036773",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Elizabeth Koffman, MD
• Sarwar Kokoy, MD
• Onaopepo Oladipo Kola-Kehinde, MD
• Asghar Koleyni, MD
• Paul J Koltnow, PA
• Padmaja Koneru, MD
• Selene Clarissa Koo, MD, PHD
• Dylan Schuyler Koolmees, MD
• Dorothy Koompah, MPHIL
• Katherine Oakley Kopinski, M.D.

• Chiropractor in Memphis, TN
• Providers in Memphis, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.