Active NPI
George Gordon Patterson, MD
- Family Medicine Physician
- Harrison, AR
National Provider Identifier
1235143041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C5437
- Practice address
- 724 N Spring St
Harrison, AR 72601 - Phone
- (870) 741-2500
- Fax
- (870) 741-7618
- NPI assigned
- Jul 28, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | C5437 | AR | Primary |
Addresses
Primary practice location
724 N Spring St
Harrison, AR 72601
Mailing address
PO Box 1496
Harrison, AR 72602
Phone (870) 741-2500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 53704 | Other | AR | BC |
| 01915193 | Other | AR | DEPT OF LABOR |
| 117485001 | Medicaid | AR |
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 |
|---|---|---|---|
| C5437 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harrison Mediquick PA | 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.
-
- Urgent Care Clinic/Center
- Harrison, AR
- NPI 1871527002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235143041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1496",
"city": "HARRISON",
"state": "AR",
"postal_code": "72602",
"telephone_number": "870-741-2500",
"fax_number": "870-741-7618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 N SPRING ST",
"city": "HARRISON",
"state": "AR",
"postal_code": "72601",
"telephone_number": "870-741-2500",
"fax_number": "870-741-7618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "GEORGE",
"middle_name": "GORDON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AR",
"license": "C5437",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC",
"identifier": "53704",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "01915193",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "117485001",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.