Active NPI
Robert J Patterson, M.D.
- Internal Medicine Physician
- St Michaels, MD
National Provider Identifier
1033201355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0057908
- Practice address
- 800 S Talbot St
St Michaels, MD 21663-2628 - Phone
- (410) 745-0450
- Fax
- (410) 745-0452
- NPI assigned
- Sep 28, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | D0057908 | MD | Primary |
Addresses
Primary practice location
800 S Talbot St
St Michaels, MD 21663-2628
Mailing address
21750 Deep Harbor Farm Rd
Sherwood, MD 21665-9722
Phone (410) 886-2690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199621300 | Medicaid | MD |
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 |
|---|---|---|---|
| D0057908 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Einstein Community Health Associates, Inc | Internal Medicine | Past | Accepting new patients |
| Robert J Patterson, MD LLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- St Michaels, MD
- NPI 1891887014
Internal Medicine
-
- Internal Medicine Physician
- Philadelphia, PA
- NPI 1427662931
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259020800000",
"number": "1033201355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21750 DEEP HARBOR FARM RD",
"city": "SHERWOOD",
"state": "MD",
"postal_code": "216659722",
"telephone_number": "410-886-2690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S TALBOT ST",
"city": "ST MICHAELS",
"state": "MD",
"postal_code": "216632628",
"telephone_number": "410-745-0450",
"fax_number": "410-745-0452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2009-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0057908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199621300",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in St Michaels, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.