Pattersonmd LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATTERSONMD LLC

Doing business as

PattersonMD Family Medicine

Practice address

18851 NE 29TH Ave Ste 700
Aventura, FL 33180-2845

Phone

(305) 965-4997

Fax

(305) 907-5669

NPI assigned

Aug 12, 2020

Organization subpart

No

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

Authorized official

Name

Eltanya A Patterson, MD

Title

Owner

Phone

(800) 341-5096

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• PattersonMD Family Medicine Doing business as

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615248000000",
    "number": "1396356374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18121 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331694215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18851 NE 29TH AVE STE 700",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802845",
            "telephone_number": "305-965-4997",
            "fax_number": "305-907-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSONMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ELTANYA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-341-5096",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME115754",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PattersonMD Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angeli Patel, NURSE PRACTIONER
• Neil Patel
• Nili Manu Patel, DPT
• Vishva Patel
• Path Medical, LLC
• Patton Psychology Associates, Inc.
• Paul T Fass M.D., P.a.
• Paulista Medical Care LLC
• Suzanne Shelley Pearl, MSW
• Jennifer Pechenik, LCSW, PSYD

• Family Medicine Physician in Aventura, FL
• Providers in Aventura, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.