Individual provider Active NPI

Kristin Patton, MD

  • Surgery Physician
  • Benton, AR
National Provider Identifier
1770745523
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
E-9576 Issued in AR
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, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329000764 AR Practitioner - General Surgery 2163741307 Reassigns benefits to 1 organization

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
Saline Clinics LLCGroup PAC ID 0547553836, 26 clinicians

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

ProcedureNumber of procedures
Colonoscopy42
Hernia repair - groin (open)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-9576ARMDSurgery Physician
036133188ILMDSurgery Physician
T-2139MSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saline Clinics LLC Surgery CurrentSince Jul 1, 2016 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

  • FHIR API: https://api.platform.athenahealth.com/16686/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.