Active NPI
Arthur James Patterson Jr., M.D.
- Surgery Physician
- Clarksburg, WV
National Provider Identifier
1225019490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 25765
- Practice address
- 1 Medical Center Drive
Clarksburg, WV 26301-4199 - Phone
- (304) 623-3461
- NPI assigned
- Nov 7, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD022347E | PA | |
| Surgery Physician | 208600000X | 25765 | WV | Primary |
Addresses
Primary practice location
1 Medical Center Drive
Clarksburg, WV 26301-4199
Mailing address
108 Parkview Dr
Apt# 104
Bridgeport, WV 26330-4557
Phone (724) 998-2473
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0009129870003 | Medicaid | PA |
Other names 1
- Arthur James Patterson Jr.
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD022347E | PA | MD | Specialist |
| 25765 | WV | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SRMC Healthcare Group LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Pathology/Laboratory Medicine Physician
- Waynesburg, PA
- NPI 1861424525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451433600000",
"number": "1225019490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PARKVIEW DR",
"address_2": "APT# 104",
"city": "BRIDGEPORT",
"state": "WV",
"postal_code": "263304557",
"telephone_number": "724-998-2473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DRIVE",
"city": "CLARKSBURG",
"state": "WV",
"postal_code": "263014199",
"telephone_number": "304-623-3461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ARTHUR",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-07",
"last_updated": "2015-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD022347E",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WV",
"license": "25765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009129870003",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ARTHUR",
"last_name": "PATTERSON",
"middle_name": "JAMES",
"suffix": "JR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Clarksburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.