Active NPI
John William Patton III, MD
- Anesthesiology Physician
- Cortez, CO
National Provider Identifier
1003974486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 38470
- Practice address
- 1311 N Mildred St NE
SW Memorial Hospital
Cortez, CO 81321 - Phone
- (950) 565-6666
- Fax
- (970) 564-2049
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 38470 | CO | Primary |
Addresses
Primary practice location
1311 N Mildred St NE
SW Memorial Hospital
Cortez, CO 81321
Mailing address
PO Box 510
39780 Road G
Mancos, CO 81328
Phone (970) 533-1970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84239361 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38470 | CO | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind River Anesthesia Consultants Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- Klamath Falls, OR
- NPI 1720169014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003974486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"address_2": "39780 ROAD G",
"city": "MANCOS",
"state": "CO",
"postal_code": "81328",
"telephone_number": "970-533-1970",
"fax_number": "970-533-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 N MILDRED ST NE",
"address_2": "SW MEMORIAL HOSPITAL",
"city": "CORTEZ",
"state": "CO",
"postal_code": "81321",
"telephone_number": "950-565-6666",
"fax_number": "970-564-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "38470",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84239361",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortez, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.