Jan Louise Patterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

251806 Issued in NY

Practice address

242 S Central Ave
Mechanicville, NY 12118-3522

Phone

(518) 779-5225

NPI assigned

Feb 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Jan L Taylor Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jan.patterson.1@10523.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407888000000",
    "number": "1881668523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SHEFFIELD DR",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651849",
            "telephone_number": "518-779-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S CENTRAL AVE",
            "city": "MECHANICVILLE",
            "state": "NY",
            "postal_code": "121183522",
            "telephone_number": "518-779-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JAN",
        "middle_name": "LOUISE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-16",
        "last_updated": "2014-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "251806",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5862",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "38549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "TAYLOR",
            "middle_name": "L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ryan Nunnery
• Matthew Gerard O'Neil, P.T.
• Orthopedicsny, LLP
• Theresa Parascandola, MD
• Shilpkumar Patel, RPH
• Petra V. Enzien, DMD, PLLC
• Laurie Phibbs, OTR/L
• Dana Lynn Pitaniello, M.S. CCC-SLP
• Debra L Prehoda, RN,BSN
• Marc David Price, D.O.

• Family Medicine Physician in Mechanicville, NY
• Providers in Mechanicville, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.