Jan Patterson MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2518061 Issued in NY

Legal business name

JAN PATTERSON MD PC

Practice address

242 S Central Ave
Mechanicville, NY 12118-3522

Phone

(517) 779-5225

Fax

(518) 288-2848

NPI assigned

Aug 8, 2013

Organization subpart

No

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

Authorized official

Name

Jan L Patterson, MD

Title

President

Phone

(518) 779-5225

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375920000000",
    "number": "1629400965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 ROUTE 9 UNIT 867",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120659345",
            "telephone_number": "517-779-5225",
            "fax_number": "518-288-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S CENTRAL AVE",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183522",
            "telephone_number": "517-779-5225",
            "fax_number": "518-288-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAN PATTERSON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-08",
        "last_updated": "2013-08-08",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-779-5225",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "2518061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Herdzik, MD
• Maria C. Hicks, O.T.
• Jacob Ryan Hildebrand, PHARMD
• Wayne A Hogan, D.C.
• Donna Jeanne Hopping, LPN
• John H Ahearn Jr Rescue Squad Inc
• Robert I Kaplan, MD
• Valerie P Keen, MS.,CCC-SLP
• Sydney Erin King, PHARMD
• Laura Lynch Krosky, CCC-SLP

• Family Medicine Physician in Mechanicville, NY
• Providers in Mechanicville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.