Individual provider Active NPI

David G Patterson, D.O.

  • Family Medicine Physician
  • Flat Rock, MI
National Provider Identifier
1881682821
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101012588 Issued in MI
Practice address
25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone
(734) 789-9355
Fax
(734) 789-1520
NPI assigned
Oct 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101012588 MI Primary

Addresses

Primary practice location

25620 Gibraltar Rd
Flat Rock, MI 48134-1243

Mailing address

25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone (734) 789-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20060331000256 MI Practitioner - Family Practice 9830107937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David G Patterson DO PCGroup PAC ID 9032127139, 2 clinicians

Practice addresses (Care Compare)

25620 Gibraltar Rd
Flat Rock, MI 48134-1243
Phone (734) 789-9355

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101012588MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David G Patterson DO PC Family Medicine CurrentSince Dec 1, 1998 Accepting new patients
Colleen D. Browne DO PC Family Medicine Current Accepting new patients

Locations

25620 Gibraltar Rd
Flat Rock, MI 48134
Phone (734) 789-8950

Interoperability endpoints

  • Direct secure messaging: david.patterson.1@8982.direct.athenahealth.com
  • Direct secure messaging: david.patterson.2@8982.direct.athenahealth.com
  • Direct secure messaging: dpatterson221486@direct.hfhs.org
  • FHIR API: https://api.platform.athenahealth.com/23604/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8982/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 2

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881682821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-9355",
            "fax_number": "734-789-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25620 GIBRALTAR RD",
            "city": "FLAT ROCK",
            "state": "MI",
            "postal_code": "481341243",
            "telephone_number": "734-789-9355",
            "fax_number": "734-789-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "DAVID",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101012588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flat Rock, MI

Sources for this page

Verify at the official NPI Registry.