Provider Demographics
NPI:1750397758
Name:MACFARLANE, PATRICIA OWENSBY (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:OWENSBY
Last Name:MACFARLANE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 MINNESOTA DR STE 800
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435-7915
Mailing Address - Country:US
Mailing Address - Phone:952-595-1301
Mailing Address - Fax:612-294-4903
Practice Address - Street 1:3600 MINNESOTA DR STE 800
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-7915
Practice Address - Country:US
Practice Address - Phone:952-595-1301
Practice Address - Fax:612-294-4903
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20020195822085R0202X
KS04-368522085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
430954380OtherFOCUS
ILP00242628Medicare ID - Type UnspecifiedIL RAILROAD MEDICARE
430954380CAPOtherMERCY HEALTH PLAN
063896OtherHEALTH ALLIANCE
MO025010086Medicare ID - Type UnspecifiedMO MEDICARE
MSMO-441OtherCOMPREHENSIVE HEALTH SERV
560570OtherHEALTHLINK
430954380OtherCCO, INC
H14519Medicare UPIN
MO205950306Medicaid
IL036-106977OtherIL BLUE CROSS BLUE SHIELD
MO300137020Medicare ID - Type UnspecifiedMO RAILROAD MEDICARE
MO185214OtherMO BLUE CROSS BLUE SHIELD
ILL94968Medicare ID - Type UnspecifiedIL MEDICARE
AR149235001Medicaid