Individual provider Active NPI

Austin M Patterson, DO

  • Sports Medicine (Family Medicine) Physician
  • Marietta, OH
National Provider Identifier
1972123222
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
34.017469 Issued in OH
Practice address
802 Wayne St Ste 200
Marietta, OH 45750-3300
Phone
(740) 374-6030
Fax
(740) 374-6029
NPI assigned
Apr 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4299 WV
Sports Medicine (Family Medicine) Physician 207QS0010X 34.017469 OH Primary

Addresses

Primary practice location

802 Wayne St Ste 200
Marietta, OH 45750-3300

Mailing address

802 Wayne St Ste 200
Marietta, OH 45750-3300
Phone (740) 374-6030

Other practice location 1

2434 Richmiller Ln Unit A
Belpre, OH 45714-1075
Phone (740) 373-8756

Other practice location 2

611 2nd St # C
Marietta, OH 45750-2123
Phone (740) 373-8756

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address austin.patterson@mmhs.medicity.net
Direct Messaging Address austin.patterson@mmhs.medicity.net
Direct Messaging Address austin.patterson@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241010002376 OH Practitioner - Sports Medicine 3274065636 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
West Virginia School of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

611 2ND St
C
Marietta, OH 45750-2123
Phone (740) 373-8756

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.017469OHMDSports Medicine (Family Medicine) Physician
4299WVMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Marietta Memorial Hospital CurrentSince Oct 28, 2024 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

2434 Richmiller Ln
Unit A
Belpre, OH 45714
Phone (740) 331-6915

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

611 2nd St
#C
Marietta, OH 45750

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

611 2nd St
Ste C
Marietta, OH 45750
Phone 7403738756142

802 Wayne St
Ste 200
Marietta, OH 45750
Phone (740) 374-6030

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.

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1972123222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 WAYNE ST STE 200",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503300",
            "telephone_number": "740-374-6030",
            "fax_number": "740-374-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 WAYNE ST STE 200",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503300",
            "telephone_number": "740-374-6030",
            "fax_number": "740-374-6029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2434 Richmiller Ln Unit A",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141075",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "fax_number": "740-373-0091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "611 2nd St # C",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457502123",
            "country_code": "US",
            "telephone_number": "740-373-8756",
            "fax_number": "740-373-0091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "AUSTIN",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "WV",
            "license": "4299",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.017469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austin.patterson@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "802 Wayne St Ste 200",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457503300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austin.patterson@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "611 2nd St # C",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457502123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austin.patterson@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "2434 Richmiller Ln Unit A",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.