Active NPI
Paul Patterson, MD
- Developmental - Behavioral Pediatrics Physician
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- 0101263372
- Practice address
- 8901 Wisconsin Ave
Department of Pediatrics, Wrnmmc
Bethesda, MD 20889 - Phone
- (301) 295-4941
- NPI assigned
- Mar 18, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101263372 | VA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD485529 | PA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 0101263372 | VA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
Department of Pediatrics, Wrnmmc
Bethesda, MD 20889
Mailing address
500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (800) 243-1455
Other practice location 1
8901 Wisconsin Ave
Bethesda, MD 20889-0001
Phone (301) 295-4959
Other practice location 2
905 W Governor Rd Ste 320
Hershey, PA 17033-2310
Phone (717) 531-4751
Other names 1
- Paul E Patterson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101263372 | VA | MD | Pediatrics Physician |
| MD485529 | PA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Pediatrics | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients |
Locations
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
905 W Governor Rd
Ste 320
Hershey, PA 17033
Phone (717) 531-4751
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Pediatrics Physician
- Hershey, PA
- NPI 1205801537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1063873933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR MC CA410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455",
"fax_number": "717-531-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"address_2": "DEPARTMENT OF PEDIATRICS, WRNMMC",
"city": "BETHESDA",
"state": "MD",
"postal_code": "20889",
"telephone_number": "301-295-4941"
}
],
"practiceLocations": [
{
"address_1": "8901 Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Bethesda",
"state": "MD",
"postal_code": "208890001",
"country_code": "US",
"telephone_number": "301-295-4959",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "905 W GOVERNOR RD STE 320",
"address_purpose": "LOCATION",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332310",
"country_code": "US",
"telephone_number": "717-531-4751",
"fax_number": "717-531-0781",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATTERSON",
"first_name": "PAUL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-18",
"last_updated": "2024-07-03",
"certification_date": "2024-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101263372",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "PA",
"license": "MD485529",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "VA",
"license": "0101263372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAUL",
"last_name": "PATTERSON",
"middle_name": "E",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.