Active NPI
John C Patterson, M.D.
- Cardiovascular Disease Physician
- Clinton, MD
National Provider Identifier
1174504997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- D19633
- Practice address
- 7501 Surratts Road
Suite 201a
Clinton, MD 20735-3358 - Phone
- (301) 586-5900
- Fax
- (301) 856-2434
- NPI assigned
- Nov 9, 2005
- Last updated
- Aug 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | D19633 | MD | Primary |
Addresses
Primary practice location
7501 Surratts Road
Suite 201a
Clinton, MD 20735-3358
Mailing address
7501 Surratts Road
Suite 201a
Clinton, MD 20735-3358
Phone (301) 856-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 336341400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080228000321 | DC | Practitioner - Cardiovascular Disease (Cardiology) | 3577647692 | Practice locations: Clinton, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Management Associates Inc | Past | Accepting new patients | |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients | |
| John C. Patterson, M.D. | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Medical Specialty Clinic/Center
- Clinton, MD
- NPI 1508293176
-
dba South Maryland Nuclear
- Radiology Clinic/Center
- Clinton, MD
- NPI 1336276021
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
dba Women's Health Center of Waldorf
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1174504997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7501 SURRATTS ROAD",
"address_2": "SUITE 201A",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-856-5900",
"fax_number": "301-856-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7501 SURRATTS ROAD",
"address_2": "SUITE 201A",
"city": "CLINTON",
"state": "MD",
"postal_code": "207353358",
"telephone_number": "301-586-5900",
"fax_number": "301-856-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MD",
"license": "D19633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "336341400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MD
- Shreedip Dilipbhai Patel, MD
- Suryakant J Patel, M.D.
- Vikash Patel, D.D.S.
- Patient First Maryland Medical Group (Patient First Clinton)
- Patient First Maryland Medical Group PLLC
- Petra Patterson, RN OWNER
- Paul Shannon Cunningham
- Peace and Inner Harmony Services LLC
- Peaceful Life Assisted Living
- Adam Michael Pearlman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.