NPIMap

Organization Active NPI

Robert W Patterson MD PA

Doing business as The Family Doc Diagnostic and Wellness Ctr

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1740213370
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23907 Issued in NC
Legal business name
ROBERT W PATTERSON MD PA
Doing business as
The Family Doc Diagnostic and Wellness Ctr
Practice address
1411 Greenway Court
Sanford, NC 27330
Phone
(919) 776-3750
Fax
(919) 776-3760
NPI assigned
Jul 8, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Robert William Patterson, MDNPI 1346214079
Title
President
Phone
(919) 776-3750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23907 NC Primary

Addresses

Primary practice location

1411 Greenway Court
Sanford, NC 27330

Mailing address

PO Box 932
Sanford
Sanford, NC 27331-0932
Phone (919) 776-3750

Other identifiers 2

IdentifierTypeStateIssuer
89-0115LMedicaidNC
0115LOtherNCBC/BS GROUP NUMBER

Other names 1

  • The Family Doc Diagnostic and Wellness Ctr Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1740213370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932",
            "address_2": "SANFORD",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273310932",
            "telephone_number": "919-776-3750",
            "fax_number": "919-776-3760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 GREENWAY COURT",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-776-3750",
            "fax_number": "919-776-3760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W PATTERSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-776-3750",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "23907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0115L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP NUMBER",
            "identifier": "0115L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Family Doc Diagnostic and Wellness Ctr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.