Robert Arness Patterson

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

23117 Issued in DC

Practice address

11809 Carol Ave
Warren, MI 48093-4619

Phone

(313) 955-7069

NPI assigned

Jun 12, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other names 1

• Dr. Bob Arnesss Patterson I Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Patterson Phelbotomy LLC

  • Specialist
  • Warren, MI
  • NPI 1952065237
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1093383598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37700 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480363021",
            "telephone_number": "586-360-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11809 CAROL AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480934619",
            "telephone_number": "313-955-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "ROBERT",
        "middle_name": "ARNESS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-12",
        "last_updated": "2021-11-10",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "21-7102",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "21-7102",
            "primary": false
        },
        {
            "code": "374700000X",
            "taxonomy_group": "",
            "desc": "Technician",
            "state": "DC",
            "license": "21-7102",
            "primary": false
        },
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": "DC",
            "license": "23117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pattersonphlebotomy.godaddysites.com",
            "affiliation": "N",
            "endpointDescription": "telehealth platform",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "telehealth services",
            "address_1": "11809 Carol Ave",
            "city": "Warren",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480934619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BOB",
            "last_name": "PATTERSON",
            "middle_name": "ARNESSS",
            "prefix": "DR.",
            "suffix": "I",
            "credential": "BOARD CERTIFIED CMA,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Patience With Faith LLC
• Patient Support Services
• Claire E Patishall
• E. Byrum Patrick, M.D.
• Patterson Phelbotomy LLC
• Jennifer Patton, FNP-C
• Jordan Paugh, DO
• Paul Petre MD PC
• Paul Petre MD PC
• Abhilash Paul I

• Legal Medicine in Warren, MI
• Providers in Warren, MI by specialty
• Legal Medicine in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.