Active NPI
Philip P Patten, MD, MPH
- General Practice Physician
- Metairie, LA
National Provider Identifier
1366609992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD.205186
- Practice address
- 2909 Kingman St
Metairie, LA 70006-6615 - Phone
- (504) 717-2233
- Fax
- (504) 517-1771
- NPI assigned
- May 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD.205186 | LA | |
| General Practice Physician | 208D00000X | MD.205186 | LA | Primary |
| Pain Medicine (Psychiatry & Neurology) Physician | 2084P2900X | MD.205186 | LA | |
| Urgent Care Clinic/Center | 261QU0200X | MD.205186 | LA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2909 Kingman St
Metairie, LA 70006-6615
Mailing address
505 Giuffrias Ave
Metairie, LA 70001-4810
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.205186 | LA | MD | Pain Medicine (Psychiatry & Neurology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1366609992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 GIUFFRIAS AVE",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700014810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2909 KINGMAN ST",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700066615",
"telephone_number": "504-717-2233",
"fax_number": "504-517-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTEN",
"first_name": "PHILIP",
"middle_name": "P",
"credential": "MD, MPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-21",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "LA",
"license": "MD.205186",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "LA",
"license": "MD.205186",
"primary": true
},
{
"code": "2084P2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Pain Medicine",
"state": "LA",
"license": "MD.205186",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "LA",
"license": "MD.205186",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.