Patton Medical of the Gulf Coast, Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PATTON MEDICAL OF THE GULF COAST, INC

Practice address

1805 Old Shell Rd
Mobile, AL 36607-3416

Phone

(251) 459-8600

Fax

(228) 872-8686

NPI assigned

Jan 6, 2015

Organization subpart

Yes

Parent organization

PATTON MEDICAL OF THE GULF COAST, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William Keith Wade

Title

Owner VP

Phone

(228) 872-8685

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Patton Medical of the Gulf Coast Inc

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449187200000",
    "number": "1265820823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3002 BIENVILLE BLVD",
            "address_2": "SUITE C",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395644354",
            "telephone_number": "228-872-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 OLD SHELL RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073416",
            "telephone_number": "251-459-8600",
            "fax_number": "228-872-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTON MEDICAL OF THE GULF COAST, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PATTON MEDICAL OF THE GULF COAST, INC",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-12-04",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER VP",
        "authorized_official_telephone_number": "228-872-8685",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1265820823",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Conan Patterson, PT, DPT
• Kelsey Patterson, MD, PHD
• Kimberley V. Patterson, M.D.
• Lauren Nicole Patterson
• Scott Henry Patterson, MD
• Amber E Patton, OTR/L
• Andrew Patton, LPC
• Lucinda T Patton, M.D.
• Rubi Patton
• Sarah Patton, CRNP

• Prosthetic/Orthotic Supplier in Mobile, AL
• Providers in Mobile, AL by specialty
• Prosthetic/Orthotic Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.