MEDICARE: DR. PATRICK JOSEPH CAREY DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	OS005297L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376600775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICK JOSEPH CAREY DO

Provider Business Mailing Address
First Line	:	1201 GRAMPIAN BLVD
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-1900
Country	:	US
Telephone Number	:	570-326-8723
Fax Number	:	570-326-8922

Provider Business Practice Location Address
First Line	:	1201 GRAMPIAN BLVD STE 2F
Second Line	:
City	:	WILLIAMSPORT
State	:	PA
Zip	:	17701-1965
Country	:	US
Telephone Number	:	570-321-2020
Fax Number	:	570-320-7455

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	02/04/2021

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Directions to “ DR. PATRICK JOSEPH CAREY DO” Practice Location

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