Active NPI
Deborah Beatty Patterson, MMS PAC
- Physician Assistant
- Pittsburgh, PA
National Provider Identifier
1255429668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MA001504L
- Practice address
- 5500 Corporate Dr Ste 320
Pittsburgh, PA 15237-5848 - Phone
- (412) 435-1170
- Fax
- (412) 435-1171
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA001504L | PA | Primary |
Addresses
Primary practice location
5500 Corporate Dr Ste 320
Pittsburgh, PA 15237-5848
Mailing address
801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008
Other names 1
- Deborah Sue Beatty
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | DP3902@forefrontdermatology.emadirect.md |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dermatological Associates PC | Past | Accepting new patients | |
| East Suburban Ophthalmic Associates, Inc. | Past | Accepting new patients | |
| Advanced Dermatology of Pennsylvania, PC | Past | Accepting new patients |
Interoperability endpoints
- dp3902@forefrontdermatology.emadirect.md
Organizations & group practices 3
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.
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1740671767
-
- Dermatology Physician
- White Oak, PA
- NPI 1043211436
-
- Ophthalmology Physician
- Monroeville, PA
- NPI 1952393662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1255429668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 YORK ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204630",
"telephone_number": "920-663-9008",
"fax_number": "920-684-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 CORPORATE DR STE 320",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152375848",
"telephone_number": "412-435-1170",
"fax_number": "412-435-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "DEBORAH",
"middle_name": "BEATTY",
"name_prefix": "Mrs.",
"credential": "MMS PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "PA",
"license": "MA001504L",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "DP3902@forefrontdermatology.emadirect.md",
"affiliation": "N",
"address_1": "5500 Corporate Dr Ste 320",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152375848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DEBORAH",
"last_name": "BEATTY",
"middle_name": "SUE",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.