Active NPI
Carlos Saul Patino, MD
- Anesthesiology Physician
- Jackson, MS
National Provider Identifier
1861218141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 05308
- Practice address
- 4258 N Honeysuckle LN
Jackson, MS 39211-6129 - Phone
- (404) 388-1340
- NPI assigned
- Dec 2, 2024
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 05308 | MS | Primary |
Addresses
Primary practice location
4258 N Honeysuckle LN
Jackson, MS 39211-6129
Mailing address
4258 N Honeysuckle LN
Jackson, MS 39211-6129
Phone (404) 388-1340
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05308 | MS | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733097600000",
"number": "1861218141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4258 N HONEYSUCKLE LN",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116129",
"telephone_number": "404-388-1340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4258 N HONEYSUCKLE LN",
"city": "JACKSON",
"state": "MS",
"postal_code": "392116129",
"telephone_number": "404-388-1340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATINO",
"first_name": "CARLOS",
"middle_name": "SAUL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-12-02",
"last_updated": "2024-12-02",
"certification_date": "2024-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MS",
"license": "05308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
- Corby W. Pathanos, LPC
- Pathway Healthcare - Jackson, Ms, LLC
- Pathway to Wellness, LLC
- Patient'S Choice Medical Clinic of Jackson
- Patients Choice Community Mental Health Center
- Brady Clifton-Lee Patrick
- Katherine B Patrick
- Attica J Patterson, MS,MS,PCMHT
- John Patterson, DDS
- Kevin Patterson Sr., FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.