NPIMap

Individual provider Active NPI

James L Patterson, DO

  • Family Medicine Physician
  • Butler, MO
National Provider Identifier
1871579706
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2007000367 Issued in MO
Practice address
617 W Nursery St
Butler, MO 64730-1840
Phone
(660) 200-7133
Fax
(660) 200-2396
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2007000367 MO Primary
Emergency Medicine Physician 207P00000X 2007000367 MO

Addresses

Primary practice location

617 W Nursery St
Butler, MO 64730-1840

Mailing address

PO Box 370
Butler, MO 64730-0370
Phone (660) 200-7000

Other identifiers 2

IdentifierTypeStateIssuer
204590707MedicaidMO
89985524MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070312000553 MO Practitioner - Emergency Medicine 1153393566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Kansas City College of Medicine and Surgery, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bates County Memorial HospitalGroup PAC ID 8123937356, shared by 7 NPIs, 66 clinicians

Practice addresses (Care Compare)

225 N 14TH St
Rich Hill, MO 64779-1372
Phone (417) 395-2155

615 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-2004

617 W Nursery St
Butler, MO 64730-1840
Phone (660) 200-7133

706 S High St
Butler, MO 64730-1833
Phone (660) 200-7135

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2007000367MOMDFamily Medicine Physician
000367MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mawd Pathologists, LLC Current Accepting new patients
Bates County Memorial Hospital Current Accepting new patients
Mawd Pathology Group Inc Current Accepting new patients
Bates County Memorial Hospital Family Medicine CurrentSince Mar 4, 2015 Accepting new patients
Bates County Memorial Hospital Family Medicine CurrentSince Mar 4, 2015 Accepting new patients
Butler Operator LLC Past Accepting new patients
Trinidad Area Health Association Family Medicine Past Accepting new patients
Medicalodges, Inc. Past Accepting new patients

Locations

617 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

706 S High St
Butler, MO 64730
Phone (660) 200-7135

Interoperability endpoints

  • Direct secure messaging: james.patterson.1@15058.direct.athenahealth.com

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1871579706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 370",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647300370",
            "telephone_number": "660-200-7000",
            "fax_number": "660-200-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 W NURSERY ST",
            "city": "BUTLER",
            "state": "MO",
            "postal_code": "647301840",
            "telephone_number": "660-200-7133",
            "fax_number": "660-200-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JAMES",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2007000367",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2007000367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204590707",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89985524",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, MO

Sources for this page

Verify at the official NPI Registry.