Active NPI
Thomas Johnston Patrick Jr., DPM
- Podiatrist
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 72
- Practice address
- 184 Oakland Ave
Spartanburg, SC 29302-1669 - Phone
- (864) 582-8570
- Fax
- (864) 585-3528
- NPI assigned
- Jul 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 72 | SC | Primary |
Addresses
Primary practice location
184 Oakland Ave
Spartanburg, SC 29302-1669
Mailing address
184 Oakland Ave
Spartanburg, SC 29302-1669
Phone (864) 582-8570
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PD0724 | Medicaid | SC | |
| P00315353 | Other | SC | RAILROAD MEDICARE PROV # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Kent State University College of Podiatric Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
184 Oakland Ave
Spartanburg, SC 29302-1669
Phone (864) 582-8570
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 25 |
| Removal or shaving of skin growth | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care LLC | Podiatrist | Current | Accepting new patients |
| 360Care LLC | Current | Accepting new patients | |
| Thomas Patrick | Podiatrist | Past | Accepting new patients |
| Ecp South Carolina, P.a. | Past | Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Past | Accepting new patients |
Locations
4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483
1703 Laurel St
Columbia, SC 29201
Phone 24852821166
Organizations & group practices 5
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.
-
- Podiatrist
- Spartanburg, SC
- NPI 1710002357
-
- Audiologist
- Columbia, SC
- NPI 1619598281
-
- Internal Medicine Physician
- Greenville, SC
- NPI 1093146466
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1790173680
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992726319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "184 OAKLAND AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021669",
"telephone_number": "864-582-8570",
"fax_number": "864-585-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "184 OAKLAND AVE",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293021669",
"telephone_number": "864-582-8570",
"fax_number": "864-585-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "THOMAS",
"middle_name": "JOHNSTON",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "SC",
"license": "72",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PD0724",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROV #",
"identifier": "P00315353",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.