DR. GARY W. PATRICK (NPI# 1144363813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144363813 |
| Entity Type | Individual |
| Full Name | DR. GARY W. PATRICK |
| Credential | D.M.D. |
| Practice Address |
9059 W Lake Pleasant Pkwy Suite D400 Peoria AZ 85382-8336 |
| Practice Telephone | 6235720303 |
| Mailing Telephone | 6235720303 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3980 | AZ | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | BCBS OF AZ | AZ0105011 | 01 |
| AZ | UNITED CONCORDIA TRICARE | 1744690 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386629251 | Gary Lee Patrick | Psychologist | 7767 Live Oaks Dr, Denver, NC 28037-7410 | 2005-12-13 |
| 1063733483 | Gary Patrick | Nurse Anesthetist, Certified Registered | 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907-3991 | 2010-06-21 |
| Street Address |
9059 W LAKE PLEASANT PKWY SUITE D400 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85382-8336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093701286 | Sandhya Ravi | Pediatrics | 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382-8336 | 2005-09-22 |
| 1972154771 | Taylor Narducci | Pediatrics | 9059 W Lake Pleasant Pkwy, Peoria, AZ 85382-8336 | 2019-09-23 |
| 1144762626 | Holly Trygar | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-11-15 |
| 1275083024 | Trisha Amin | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-10-05 |
| 1720430960 | Melissa Flesch | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2016-07-12 |
| 1093172561 | Lake Pleasant Dentistry PC | Dentist | 9059 W Lake Pleasant Pkwy, Ste F 600, Peoria, AZ 85382-8336 | 2016-01-28 |
| 1225412737 | Veronica Leticia Elstro | Nurse Practitioner | 9059 W Lake Pleasant Pkwy, #c320, Peoria, AZ 85382-8336 | 2015-07-14 |
| 1588068472 | Elizabeth Tolman | Physician Assistant | 9059 W Lake Pleasant Pkwy, Suite E540, Peoria, AZ 85382-8336 | 2014-10-21 |
| 1104230697 | Natassia Lynn Williamson | Nurse Practitioner | 9059 W Lake Pleasant Pkwy, Suite C-320, Peoria, AZ 85382-8336 | 2014-06-12 |
| 1700134806 | Elizabeth Rattle | Physician Assistant | 9059 W Lake Pleasant Pkwy, Ste E 540, Peoria, AZ 85382-8336 | 2012-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435146 | Arizona Ot Solutions LLC | Occupational Therapist | 7450 W. Karen Lee Lane, Peoria, AZ 85382 | 2020-10-21 |
| 1497380604 | Idream Psychiatry | Psychiatry & Neurology | 8194 West Deer Valley Rd, 106-516, Peoria, AZ 85382 | 2020-03-08 |
| 1770137648 | Stefan Cseh | Occupational Therapy Assistant | 8765 W Keiton Lane #116, Peona, AZ 85382 | 2019-07-30 |
| 1174177422 | Assyrian Cultural Foundation of Arizona | Homemaker | 9163 West Union Hills Drive, Suite 114 and 115, Peoria, AZ 85382 | 2019-07-25 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1811483480 | Kimberly Ann Cochran | Nurse Practitioner | 8194 W Deer Valley Rd Ste 106-516, Peoria, AZ 85382 | 2018-07-07 |
| 1831693514 | Summa Health Care, PC | Family Medicine | 8877 W Union Hills Dr Ste 240, Peoria, AZ 85382 | 2018-03-19 |
| 1497258727 | Nkemdirim Obiora | Nurse Practitioner | 7853 West Lone Cactus Drive, Peoria, AZ 85382 | 2018-03-13 |
| 1851893721 | Alyssa Michelle Bauman | Registered Nurse | 20283 N Lake Pleasant Rd Ste 112, Peoria, AZ 85382 | 2018-03-06 |
| 1043767106 | Jason Mcaddley | Pharmacist | 9425 West Union Hills Drive, Peoria, AZ 85382 | 2016-09-07 |
| Find all providers in zip 85382 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013530187 | Core Family Dental, LLC | Dentist | 13460 N 94th Dr Ste K4, Peoria, AZ 85381-4249 | 2020-05-24 |
| 1982248084 | Westbrook Dental Center, P.a. | Dentist | 9276 W Union Hills Dr Ste A, Peoria, AZ 85382-8206 | 2019-10-31 |
| 1699318725 | Mint Dental Care LLC | Dentist | 8258 W Thunderbird Rd Ste 201, Peoria, AZ 85381-4777 | 2019-10-21 |
| 1548822497 | Katherine M Unes | Dentist | 11323 N Pawnee Rd, Peoria, IL 61615-9796 | 2019-07-01 |
| 1992296073 | George S Hariri | Dentist | 7777 W Deer Valley Rd Ste 160, Peoria, AZ 85382-2104 | 2018-05-23 |
| 1619485869 | Thunderbird Dental Studio | Dentist | 9179 W Thunderbird Rd Ste 107, Peoria, AZ 85381-4875 | 2018-01-22 |
| 1588179311 | Dr. Marc C Thevenin Jr. PC | Dentist | 5116 N Big Hollow Rd Ste 101, Peoria, IL 61615-3514 | 2017-12-01 |
| 1629592423 | Jessica Leigh Howard | Dentist | 7966 W Thunderbird Rd Ste 101, Peoria, AZ 85381-4902 | 2017-08-02 |
| 1588193718 | Darren Anderson | Dentist | 28451 N Vistancia Blvd Ste 101, Peoria, AZ 85383-2090 | 2017-06-10 |
| 1962943290 | Optim Dental Peoria-1 LLC | Dentist | 1200 W Main St Ste 9, Peoria, IL 61606-1218 | 2017-03-20 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.