Active NPI
Zachary Sean Patterson, M.D.
- Pediatrics Physician
- Douglas, AZ
National Provider Identifier
1326335852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 50104
- Practice address
- 815 E 15TH St
Douglas, AZ 85607-1631 - Phone
- (520) 364-5437
- Fax
- (520) 805-2986
- NPI assigned
- Jul 5, 2011
- Last updated
- Jan 29, 2016
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 50104 | AZ | Primary |
Addresses
Primary practice location
815 E 15TH St
Douglas, AZ 85607-1631
Mailing address
155 Calle Portal
Suite 100
Sierra Vista, AZ 85635-2900
Phone (520) 459-3012
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012819 | Medicaid | AZ |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- zpatterson100667@direct.hurleymc.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba HurleyPediatric Research & Education
- Pediatrics Physician
- Flint, MI
- NPI 1821024910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454025600000",
"number": "1326335852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 CALLE PORTAL",
"address_2": "SUITE 100",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856352900",
"telephone_number": "520-459-3012",
"fax_number": "520-515-8663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 E 15TH ST",
"city": "DOUGLAS",
"state": "AZ",
"postal_code": "856071631",
"telephone_number": "520-364-5437",
"fax_number": "520-805-2986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "ZACHARY",
"middle_name": "SEAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-05",
"last_updated": "2016-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "50104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "012819",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Douglas, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.