Active NPI
Thomas R Patterson, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Eugene, OR
National Provider Identifier
1356314520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- MD163934
- Practice address
- 677 E 12TH Ave
Eugene, OR 97401-3600 - Phone
- (541) 461-7550
- Fax
- (541) 461-7697
- NPI assigned
- Feb 8, 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 |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD163934 | OR | Primary |
Addresses
Primary practice location
677 E 12TH Ave
Eugene, OR 97401-3600
Mailing address
677 E 12TH Ave
Eugene, OR 97401-3600
Phone (541) 461-7550
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103110 | Other | VA | CIGNA |
| 5618339 | Other | VA | VA PREMIER |
| 142935 | Other | VA | SOUTHERN HEALTH |
| 270486 | Other | VA | ANTHEM |
| 2200838 | Other | VA | FIRST HEALTH |
| 005618339 | Medicaid | VA | |
| 41422 | Other | VA | OPTIMA |
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 |
|---|---|---|---|
| MD163934 | OR | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| St Lukes Regional Medical Center | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Eugene, OR
- NPI 1346237971
-
- General Acute Care Hospital
- Boise, ID
- NPI 1447299342
-
- General Acute Care Hospital
- Boise, ID
- NPI 1770586794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1356314520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "677 E 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013600",
"telephone_number": "541-461-7550",
"fax_number": "541-461-7697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "677 E 12TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974013600",
"telephone_number": "541-461-7550",
"fax_number": "541-461-7697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "THOMAS",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "OR",
"license": "MD163934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "103110",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PREMIER",
"identifier": "5618339",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "142935",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "270486",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2200838",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005618339",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "41422",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.