Marc Eugene Patrick, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA00644 Issued in RI

Practice address

Nhcne
43 Smith Road
Newport, RI 02841

Phone

(401) 275-1161

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1952365322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "OFFICE OF THE STATE SURGEON",
            "address_2": "330 CAMP STREET",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "02906",
            "telephone_number": "401-275-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NHCNE",
            "address_2": "43 SMITH ROAD",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "02841",
            "telephone_number": "401-275-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "MARC",
        "middle_name": "EUGENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "CPA00644",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA00644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Carly Palombo
• Dianne D Pannes, DDS
• Alessandro Papa, M.D.
• Andrea Shannon Parker, M.D.
• Jasma Patel, DMD
• Danielle Alicia Patton
• Katelyn Ruth Pearson
• Tripler Pell, MD, CCFP, FCFP, MSC
• Gita Subramanian Pensa, MD
• Alexandra Pereira

• Physician Assistant in Newport, RI
• Providers in Newport, RI by specialty
• Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.