NPIMap

Organization Active NPI

Barbara a Connor MD & Chester L Patrick Jr MD PC

  • Internal Medicine Physician
  • Rome, NY
National Provider Identifier
1992858138
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
NY155407 Issued in NY
Legal business name
BARBARA A CONNOR MD & CHESTER L PATRICK JR MD PC
Practice address
215 W Thomas St
Rome, NY 13440-5018
Phone
(315) 336-0250
Fax
(315) 336-0919
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Authorized official

Name
Chester L Patrick Jr., MD
Title
MD
Phone
(315) 336-0250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X NY155428 NY
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X NY155407 NY Primary

Addresses

Primary practice location

215 W Thomas St
Rome, NY 13440-5018

Mailing address

215 W Thomas St
Rome, NY 13440-5018
Phone (315) 336-0250

Other identifiers 2

IdentifierTypeStateIssuer
00780290MedicaidNY
00780236MedicaidNY

Other names 1

  • Connor and Patrick Jr Other name

National Provider Directory

National Provider Directory

Locations

215 W Thomas St
Rome, NY 13440
Phone (315) 336-0250

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272499200000",
    "number": "1992858138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405018",
            "telephone_number": "315-336-0250",
            "fax_number": "315-336-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W THOMAS ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134405018",
            "telephone_number": "315-336-0250",
            "fax_number": "315-336-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A CONNOR MD & CHESTER L PATRICK JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-04-29",
        "status": "A",
        "authorized_official_last_name": "PATRICK",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "315-336-0250",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY155428",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "NY155407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780290",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00780236",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connor and Patrick Jr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.