Active NPI
Hubert C Patterson, MD
- Otolaryngology Physician
- Raleigh, NC
National Provider Identifier
1194796466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 27502
- Practice address
- 3010 Anderson Dr
Raleigh, NC 27609-7796 - Phone
- (919) 787-7171
- Fax
- (919) 420-2028
- NPI assigned
- Jan 27, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 27502 | NC | Primary |
Addresses
Primary practice location
3010 Anderson Dr
Raleigh, NC 27609-7796
Mailing address
PO Box 18946
Raleigh, NC 27619-8946
Phone (919) 787-7171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8966104 | Medicaid | NC | |
| 66104 | Other | NC | BCBS NC |
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": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309910400000",
"number": "1194796466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 18946",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276198946",
"telephone_number": "919-787-7171",
"fax_number": "919-420-2028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3010 ANDERSON DR",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097796",
"telephone_number": "919-787-7171",
"fax_number": "919-420-2028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "HUBERT",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2011-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "27502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8966104",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "66104",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.