Active NPI
John M Patterson, MD
- Urology Physician
- Frankfort, KY
National Provider Identifier
1063419794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 23350
- Practice address
- 101 Medical Heights Dr
Frankfort, KY 40601-4137 - Phone
- (502) 223-5758
- Fax
- (502) 223-0047
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 23350 | KY | Primary |
Addresses
Primary practice location
101 Medical Heights Dr
Frankfort, KY 40601-4137
Mailing address
101 Medical Heights Dr
Ste a
Frankfort, KY 40601-4137
Phone (502) 223-5758
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64233505 | Medicaid | KY |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1063419794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MEDICAL HEIGHTS DR",
"address_2": "STE A",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014137",
"telephone_number": "502-223-5758",
"fax_number": "502-223-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 MEDICAL HEIGHTS DR",
"city": "FRANKFORT",
"state": "KY",
"postal_code": "406014137",
"telephone_number": "502-223-5758",
"fax_number": "502-223-0047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JOHN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "KY",
"license": "23350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64233505",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frankfort, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.