Active NPI
Joseph R Pattison, M.D.
- Specialist
- Jacksonville, FL
National Provider Identifier
1275529414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 2561 Oak St
Jacksonville, FL 32204-4559 - Phone
- (904) 384-6009
- Fax
- (904) 384-5354
- NPI assigned
- Sep 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | FL | Primary |
Addresses
Primary practice location
2561 Oak St
Jacksonville, FL 32204-4559
Mailing address
2561 Oak St
Jacksonville, FL 32204-4559
Phone (904) 389-6009
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, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331596800000",
"number": "1275529414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2561 OAK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044559",
"telephone_number": "904-389-6009",
"fax_number": "904-384-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2561 OAK ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044559",
"telephone_number": "904-384-6009",
"fax_number": "904-384-5354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTISON",
"first_name": "JOSEPH",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2012-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.