Kenneth Thomas Patterson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

15917 Issued in WV

Practice address

2893 Sturgis Rd
Rock Hill, SC 29730-6607

Phone

(803) 366-9090

Fax

(803) 366-9141

NPI assigned

Jul 15, 2006

Last updated

May 21, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Catawba Indian HLTH Ctr Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Rock Hill, SC
  • NPI 1467581819
  NPD (past)
• Micmac Health Department

  • Community Health Clinic/Center
  • Presque Isle, ME
  • NPI 1881232346
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1952327462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2893 STURGIS RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306607",
            "telephone_number": "803-366-9090",
            "fax_number": "803-366-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2893 STURGIS RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297306607",
            "telephone_number": "803-366-9090",
            "fax_number": "803-366-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KENNETH",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "15917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159170",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pathology Associates of South Carolina
• Matthew Patrick
• Brittany Patterson, RBT
• Chloe Patterson
• Elizabeth Patterson, BCBA
• Kevin Patton
• Catherine Ann Paukovitz, D.P.M.
• Paul R Ponnaiya MD a Professional Corporation
• Celeste Bien Paul, OTRL
• Courtney Joanne Pavlovich, LPTA

• Family Medicine Physician in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.