Active NPI
Toni R. Patterson, D.O.
- Anesthesiology Physician
- Chesterfield, MO
National Provider Identifier
1629098355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- R1A25
- Practice address
- 17050 Baxter Rd
Dept. of Anesthesia
Chesterfield, MO 63005-1422 - Phone
- (636) 200-4242
- Fax
- (636) 200-4243
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | R1A25 | MO | Primary |
Addresses
Primary practice location
17050 Baxter Rd
Dept. of Anesthesia
Chesterfield, MO 63005-1422
Mailing address
351 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 200-4242
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 241494731 | Medicaid | MO | |
| 0976845 | Medicaid | IA | |
| 8298 | Other | MO | HEALTHCARE USA (GROUP) |
| CG4336 | Other | RAILROAD MEDICARE | |
| 1909887 | Medicaid | IA | |
| 050055115 | Other | RAILROAD MEDICARE | |
| 80171 | Other | MO | HEALTHCARE USA |
Other names 1
- Dr. Toni R. Smith
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 Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert H and Teresita S Petty | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Effingham, IL
- NPI 1306913868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1629098355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "351 CONSORT DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114439",
"telephone_number": "636-200-4242",
"fax_number": "636-200-4243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17050 BAXTER RD",
"address_2": "DEPT. OF ANESTHESIA",
"city": "CHESTERFIELD",
"state": "MO",
"postal_code": "630051422",
"telephone_number": "636-200-4242",
"fax_number": "636-200-4243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "TONI",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MO",
"license": "R1A25",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241494731",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0976845",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA (GROUP)",
"identifier": "8298",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CG4336",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1909887",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050055115",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHCARE USA",
"identifier": "80171",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONI",
"last_name": "SMITH",
"middle_name": "R.",
"prefix": "DR.",
"credential": "D.O",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesterfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.