Active NPI
Bennie Lavet Patmon Jr., DPM
- Podiatrist
- Laurel, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00000
- Practice address
- 13950 Baltimore Ave
Laurel, MD 20707-5000 - Phone
- (301) 317-6800
- Fax
- (301) 317-5069
- NPI assigned
- May 4, 2012
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00000 | MD | Primary |
Addresses
Primary practice location
13950 Baltimore Ave
Laurel, MD 20707-5000
Mailing address
13950 Baltimore Ave
Laurel, MD 20707-5000
Phone (301) 317-6800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- William M. Scholl College of Podiatric Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10100 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000
3600 N Interstate Ave
Portland, OR 97227-1106
Phone (800) 813-2000
3620 N Interstate Ave
Portland, OR 97227-1106
Phone (800) 813-2000
9900 SE Sunnyside Rd
Clackamas, OR 97015-9777
Phone (800) 813-2000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 37 |
| Removal or shaving of skin growth | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zarate Podiatry PA | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
13950 Baltimore Ave
Laurel, MD 20707
Phone (301) 317-6800
7610 Carroll Ave
Ste 380
Takoma Park, MD 20912
Phone (240) 396-4871
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Organizations & group practices 4
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.
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
WA
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
-
- General Practice Physician
- Portland, OR
- NPI 1982959565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438646400000",
"number": "1932468394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13950 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075000",
"telephone_number": "301-317-6800",
"fax_number": "301-317-5069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13950 BALTIMORE AVE",
"city": "LAUREL",
"state": "MD",
"postal_code": "207075000",
"telephone_number": "301-317-6800",
"fax_number": "301-317-5069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATMON",
"first_name": "BENNIE",
"middle_name": "LAVET",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-04",
"last_updated": "2015-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MD",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.