Active NPI
John Dale Patton, MD
- General Practice Physician
- Ryegate, VT
National Provider Identifier
1063447340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 9255
- Practice address
- 991 Balen Hazen Rd
Ryegate, VT 05042 - Phone
- (802) 584-3928
- NPI assigned
- Jul 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 9255 | NH | Primary |
Addresses
Primary practice location
991 Balen Hazen Rd
Ryegate, VT 05042
Mailing address
Box 316
991 Balen Hazen Rd
Ryegate, VT 05042
Phone (802) 584-3928
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30007010 | Medicaid | NH | |
| 1007131 | Medicaid | VT |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9255 | NH | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063447340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 316",
"address_2": "991 BALEN HAZEN RD",
"city": "RYEGATE",
"state": "VT",
"postal_code": "05042",
"telephone_number": "802-584-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "991 BALEN HAZEN RD",
"city": "RYEGATE",
"state": "VT",
"postal_code": "05042",
"telephone_number": "802-584-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "JOHN",
"middle_name": "DALE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NH",
"license": "9255",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30007010",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007131",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ryegate, VT
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.