DAVID DYLAN PATE PA-C NPI 1912453895

NPI Information

NPI: 1912453895
Provider Name: DAVID DYLAN PATE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MEMORIAL PHYSICIAN SERVICES

PECOS Registration: Yes

Address:
701 N 1ST ST
SPRINGFIELD, IL
ZIP 62781
Phone: (217) 788-4884
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David Dylan Pate, PA-C is a medical physician assistant in Springfield, IL with 8 years of experience. David Dylan Pate, PA-C NPI is 1912453895. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 N 1ST ST
SPRINGFIELD, IL
ZIP 62781-001
Phone: (217) 788-4884
Fax: (217) 788-6459

The NPI 1912453895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2016 and was last updated on 8/30/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	085005952	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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