Patterson Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PATTERSON MEDICAL CLINIC INC

Practice address

2175 Charbonier Rd
Florissant, MO 63031-5566

Phone

(314) 831-5999

Fax

(314) 831-9434

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mel E Lucas, D.O.

Title

President/Medical Director

Phone

(314) 831-5999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacqueline E. Marstall, PA-C

  • Physician Assistant
  • Florissant, MO
  • NPI 1457527343
  NPD (past)

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1639352545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315566",
            "telephone_number": "314-831-5999",
            "fax_number": "314-831-9434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2175 CHARBONIER RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315566",
            "telephone_number": "314-831-5999",
            "fax_number": "314-831-9434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "MEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "314-831-5999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Paton, OTR/L
• Patricia a. Sartini, Inc.
• Patricia's Bosom
• Dawn Shontell Patrick, FNP
• Jarrece Denae Patrick, MA
• Dennis R Patton, M.D.
• Paul S. Mace D.D.S.,M.S.D.,P.C.
• Abigail Paulwell
• Sarah Paunicka, DC
• Constance Michelle Payne, MSN, RN

• Family Medicine Physician in Florissant, MO
• Providers in Florissant, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.