Active NPI
Kristin Patton, MD
- Surgery Physician
- Benton, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-9576
- Practice address
- 5 Medical Park Dr
Suite 102
Benton, AR 72015-3729 - Phone
- (501) 778-4862
- Fax
- (501) 778-4685
- NPI assigned
- Jul 1, 2008
- Last updated
- Oct 3, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | T-2139 | MS | |
| Surgery Physician | 208600000X | 036133188 | IL | |
| Surgery Physician | 208600000X | E-9576 | AR | Primary |
Addresses
Primary practice location
5 Medical Park Dr
Suite 102
Benton, AR 72015-3729
Mailing address
5 Medical Park Dr
Suite 102
Benton, AR 72015-3729
Phone (501) 778-4862
Other names 1
- Dr. Kristin Doffing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Mississippi School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5 Medical Park Dr
Suite 102
Benton, AR 72015-3729
Phone (501) 778-4862
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 42 |
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 34 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-9576 | AR | MD | Surgery Physician |
| 036133188 | IL | MD | Surgery Physician |
| T-2139 | MS | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saline Clinics LLC | Surgery | Current | Accepting new patients |
Locations
5 Medical Park Dr
Ste 102
Benton, AR 72015
Phone (501) 315-1222
5 Medical Park Dr
Ste 305
Benton, AR 72015
Phone (501) 574-7400
910 N East St
Benton, AR 72015
Phone (501) 381-2001
1 Medical Park Dr
Bryant, AR 72015
Phone (501) 776-6000
Interoperability endpoints
- https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
- kristin.patton.1@16686.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Saline Memorial Hospital
- General Acute Care Hospital
- Benton, AR
- NPI 1235111071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1770745523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 MEDICAL PARK DR",
"address_2": "SUITE 102",
"city": "BENTON",
"state": "AR",
"postal_code": "720153729",
"telephone_number": "501-778-4862",
"fax_number": "501-778-4685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 MEDICAL PARK DR",
"address_2": "SUITE 102",
"city": "BENTON",
"state": "AR",
"postal_code": "720153729",
"telephone_number": "501-778-4862",
"fax_number": "501-778-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MS",
"license": "T-2139",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036133188",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-9576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "DOFFING",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.