Robert Clyde Patton, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C-4745 Issued in AR

Practice address

59 E Prospect St
Fayetteville, AR 72701-3440

Phone

(479) 445-8779

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Robert C Patton Other name

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Mercy Hospital Ozark

  • Critical Access Hospital
  • Ozark, AR
  • NPI 1275504128
  NPD (past)
• Rodney Mark Dixon MD PA

  • Family Medicine Physician
  • Fordyce, AR
  • NPI 1275072779
  NPD (past)
• Welcomehealth

  • Adult Health Nurse Practitioner
  • Fayetteville, AR
  • NPI 1366872731
  NPD (past)
• Brazos Valley Emergency Physicians PA

  • Emergency Medicine Physician
  • Navasota, TX
  • NPI 1982642955
  NPD (past)
• Bryan Emergency Physicians PA

  • Emergency Medicine Physician
  • Bryan, TX
  • NPI 1417995481
  NPD (past)
• Palestine Principal Healthcare Limited Partnership

  • Anesthesiology Physician
  • Palestine, TX
  • NPI 1164572830

  Family Medicine

  NPD (past)
• Stewart Psychiatric Associates

  • Psychiatric/Mental Health Registered Nurse
  • Cordova, TN
  • NPI 1528555182
  NPD (past)

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1437109097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E PROSPECT ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013440",
            "telephone_number": "479-445-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E PROSPECT ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727013440",
            "telephone_number": "479-445-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "ROBERT",
        "middle_name": "CLYDE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C-4745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "81752N",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136749224",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136749201",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - TEXAS",
            "identifier": "8F0106TX",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "PATTON",
            "middle_name": "C",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea L. Patterson, M.A., CCC-SLP
• Anthony Banyon Patterson, LCSW
• Misti Pattillo, APN
• Ashley Michelle Patton
• Cynthia Jean Patton, PHD
• Sean Patton
• Abigail Patty, LAC
• Austin Paul
• Pat Paul
• Lauren Cantwell Paulk, MD

• Family Medicine Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.

Verify at the official NPI Registry.