Organization Active NPI

John R Patterson MD PC

  • Geriatric Medicine (Family Medicine) Physician
  • Virginia Beach, VA
National Provider Identifier
1477763746
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
Legal business name
JOHN R PATTERSON MD PC
Practice address
2145 Old Pungo Ferry Rd
Virginia Beach, VA 23457-1341
Phone
(757) 340-3489
Fax
(757) 340-4278
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John R Patterson, MD
Title
Owner
Phone
(757) 340-3489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X VA Primary

Addresses

Primary practice location

2145 Old Pungo Ferry Rd
Virginia Beach, VA 23457-1341

Mailing address

2145 Old Pungo Ferry Rd
Virginia Beach, VA 23457-1341
Phone (757) 340-3489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477763746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 OLD PUNGO FERRY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234571341",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 OLD PUNGO FERRY RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234571341",
            "telephone_number": "757-340-3489",
            "fax_number": "757-340-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN R PATTERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-340-3489",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.