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NPI Code Detail

MEDICARE: JEFFREY PATEY MD

MEDICARE: JEFFREY PATEY MD
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
1207P00000XEmergency Medicine Physician35062051OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01449330OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770585358
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFREY PATEY MD
Provider Business Mailing Address
First Line : 116 WINDY PT
Second Line :
City : MARIETTA
State : OH
Zip : 45750-9371
Country : US
Telephone Number : 740-516-6062
Fax Number : 740-374-5790
Provider Business Practice Location Address
First Line : 4697 HARRISON ST
Second Line :
City : BELLAIRE
State : OH
Zip : 43906-1338
Country : US
Telephone Number : 740-671-1250
Fax Number : 740-671-1265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2005
Last Update Date : 02/12/2017

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Directions to “ JEFFREY PATEY MD” Practice Location

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