Active NPI
Matthew Steven Patton, M.D.
- Emergency Medicine Physician
- Chicago, IL
National Provider Identifier
1760703771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 125-058607
- Practice address
- 420 E Superior St
Rubloff Building, 12TH Floor
Chicago, IL 60611-4494 - Phone
- (312) 694-7000
- NPI assigned
- Jun 14, 2010
- Last updated
- Jun 14, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 125-058607 | IL | Primary |
Addresses
Primary practice location
420 E Superior St
Rubloff Building, 12TH Floor
Chicago, IL 60611-4494
Mailing address
400 N McClurg CT
Apt. 1211
Chicago, IL 60611-4323
Phone (651) 336-5403
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-058607 | IL | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276473600000",
"number": "1760703771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 N MCCLURG CT",
"address_2": "APT. 1211",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114323",
"telephone_number": "651-336-5403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E SUPERIOR ST",
"address_2": "RUBLOFF BUILDING, 12TH FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114494",
"telephone_number": "312-694-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "MATTHEW",
"middle_name": "STEVEN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-06-14",
"last_updated": "2010-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "125-058607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.