PATRIC TIMOTHY KNECHT (NPI# 1376078717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376078717 |
| Entity Type | Individual |
| Full Name | PATRIC TIMOTHY KNECHT |
| Credential | M.D. |
| Practice Address |
285 Sills Rd Bldg 12 East Patchogue NY 11772-4869 |
| Mailing Address |
Po Box 1559 Stony Brook NY 11790-0989 |
| Practice Telephone | 6316381750 |
| Practice Fax Number | 6316781761 |
| Mailing Telephone | 6316381750 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2020-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 301929 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1025 Pennock Place, Family Medicine Center, Fort Collins, CO 80524 | 9704958800 | 9704958891 |
| Street Address |
285 SILLS RD BLDG 12 |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124354907 | Rene Molnar | Family Medicine | 56 Orchard Rd, East Patchogue, NY 11772-5509 | 2009-10-28 |
| 1750519476 | Tawana Hill | Family Medicine | 100 Hospital Rd Ste 203, East Patchogue, NY 11772-8814 | 2009-07-01 |
| 1518126614 | Boris E. Rosenfeld | Family Medicine | 285 Sills Rd Ste H, East Patchogue, NY 11772-4869 | 2008-06-03 |
| 1427149988 | Steven William Shepherd | Family Medicine | 286 Patchogue Yaphank Rd, East Patchogue, NY 11772-4861 | 2006-09-27 |
| 1063894012 | Edward Pirolli | Family Medicine | 100 Hospital Rd, Suite 203, East Patchogue, NY 11772-8809 | 2015-06-26 |
| 1396127403 | Nehal Shukla | Family Medicine | 100 Hospital Rd Ste 203, East Patchogue, NY 11772-8814 | 2015-06-25 |
| 1952783045 | Kimberly Barnaby | Family Medicine | 100 Hospital Rd, Suite 201, East Patchogue, NY 11772-8809 | 2015-06-24 |
| 1093066953 | R & T Medical, P.C. | Family Medicine | 285 Sills Rd, Bldg. 5-6 Suite H, East Patchogue, NY 11772-4869 | 2012-10-01 |
| 1396067591 | Anthony N. Donatelli Jr Md., PC | Family Medicine | 100 Hospital Rd, Suite 200, East Patchogue, NY 11772-8809 | 2010-02-16 |
| 1902039670 | Gobindveer Singh Sahi | Family Medicine | 285 Sills Rd, Building 18, East Patchogue, NY 11772-4869 | 2009-08-28 |
| Find all providers in EAST PATCHOGUE | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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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.