John R Patty (NPI# 1326094566, PAC ID# 1355335068) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1326094566 |
| PAC ID by PECOS | 1355335068 |
| Professional Enrollment ID | I20040414000196 |
| Full Name | John R Patty |
| Organization Legal Name | MIDWEST OB GYN OF MISSOURI, LLC |
| Address |
2210 Barron Rd Suite 206 Poplar Bluff MO 63901-1908 |
| Phone Number | 5737727000 |
| Gender | M |
| Credential | MD |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3870853294 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260119 | POPLAR BLUFF REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2210 Barron Rd, Suite 206, Poplar Bluff, MO 63901-1908 | 5737727000 | MIDWEST OB GYN OF MISSOURI, LLC |
| Organization Legal Name | MIDWEST OB GYN OF MISSOURI, LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandy D Johns | Nurse Practitioner | Midwest Ob Gyn of Missouri, LLC | 2210 Barron Rd, Suite 206, Poplar Bluff, MO 63901-1908 |
| Street Address |
2210 BARRON RD SUITE 206 |
| City | POPLAR BLUFF |
| State | MO |
| Zip | 63901-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandy D Johns | Nurse Practitioner | Midwest Ob Gyn of Missouri, LLC | 2210 Barron Rd, Suite 206, Poplar Bluff, MO 63901-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia Marie Cisne | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Savannah Coin | Nurse Practitioner | Poplar Bluff Emergency Physicians, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Hanumanth K Reddy | Cardiovascular Disease (cardiology) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Alexandros Georgolios | Otolaryngology | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Michael J. Del Rio | Thoracic Surgery | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Perry Arthur Rathbun | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Silvia Pagoada Vallecillo | General Surgery | Butler Physician Services, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Mark W Clark | Certified Registered Nurse Anesthetist (crna) | Poplar Bluff Hma Physician Management, LLC | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| James D Holden | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Timothy P Kordick | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 3100 Oak Grove Rd, Poplar Bluff, MO 63901-1573 |
| Find all physicians in zip 63901 | |||
| City | POPLAR BLUFF |
| Zip Code | 63901 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | POPLAR BLUFF + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on John R Patty.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.