Active NPI
William C Patton, M.D.
- Pediatrics Physician
- Forrest City, AR
National Provider Identifier
1871528240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- N-6317
- Practice address
- 901 Holiday Dr
Forrest City, AR 72335-9183 - Phone
- (870) 633-0880
- Fax
- (870) 633-3801
- NPI assigned
- Jul 12, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | N-6317 | AR | Primary |
Addresses
Primary practice location
901 Holiday Dr
Forrest City, AR 72335-9183
Mailing address
901 Holiday Dr
Forrest City, AR 72335-9183
Phone (870) 633-0880
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 |
|---|---|---|---|
| N-6317 | AR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Arkansas Childrens Clinic | Past | Accepting new patients |
Interoperability endpoints
- william.patton@eacc.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Forrest City, AR
- NPI 1497769921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871528240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 HOLIDAY DR",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723359183",
"telephone_number": "870-633-0880",
"fax_number": "870-633-3801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 HOLIDAY DR",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723359183",
"telephone_number": "870-633-0880",
"fax_number": "870-633-3801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "WILLIAM",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AR",
"license": "N-6317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.