NPIMap

Organization Active NPI

Patrick Chiropractic Center, PA

  • Chiropractor
  • Ocala, FL
National Provider Identifier
1982629697
Registry record updated Oct 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH4799 Issued in FL
Legal business name
PATRICK CHIROPRACTIC CENTER, PA
Practice address
415 NE 25TH Ave
Ocala, FL 34470-7037
Phone
(352) 368-2983
Fax
(352) 368-2984
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2011

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

Authorized official

Name
Dr. Donna Elaine Patrick, DCNPI 1538188545
Title
President
Phone
(352) 368-2983

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH4799 FL Primary

Addresses

Primary practice location

415 NE 25TH Ave
Ocala, FL 34470-7037

Mailing address

415 NE 25TH Ave
Ocala, FL 34470-7037
Phone (352) 368-2983

Other identifiers 2

IdentifierTypeStateIssuer
33072OtherFLBLUE CROSS BLUE SHIELD
381393200MedicaidFL

National Provider Directory

National Provider Directory

Locations

415 NE 25th Ave
Ocala, FL 34470
Phone (352) 368-2983

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1982629697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 NE 25TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707037",
            "telephone_number": "352-368-2983",
            "fax_number": "352-368-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 NE 25TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344707037",
            "telephone_number": "352-368-2983",
            "fax_number": "352-368-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-368-2983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH4799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33072",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381393200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.